Healthcare Provider Details

I. General information

NPI: 1750662854
Provider Name (Legal Business Name): HARRY CHRISTIAN JAKOBSON JR. LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2011
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1428 DARTWOOD DR
CHICO CA
95926-7150
US

IV. Provider business mailing address

1428 DARTWOOD DR
CHICO CA
95926-7150
US

V. Phone/Fax

Practice location:
  • Phone: 530-487-1366
  • Fax:
Mailing address:
  • Phone: 530-440-2716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number72495
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: