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NPI Code Detail

MEDICARE: JEFF ELLIOT JACOBSON

MEDICARE: JEFF ELLIOT JACOBSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1932041415
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFF ELLIOT JACOBSON
Provider Business Mailing Address
First Line : 11228 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-5139
Country : US
Telephone Number : 916-962-2800
Fax Number :
Provider Business Practice Location Address
First Line : 11228 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-5139
Country : US
Telephone Number : 916-962-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ JEFF ELLIOT JACOBSON ” Practice Location

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