Healthcare Provider Details

I. General information

NPI: 1881505329
Provider Name (Legal Business Name): ROCIO JACOBO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24325 MAIN ST STE 102
NEWHALL CA
91321-2932
US

IV. Provider business mailing address

PO BOX 71456
BAKERSFIELD CA
93387-1456
US

V. Phone/Fax

Practice location:
  • Phone: 661-383-2252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: