Healthcare Provider Details

I. General information

NPI: 1932029709
Provider Name (Legal Business Name): SHAWN TIFFANY JOBES LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 LONETREE BLVD STE 113
ROCKLIN CA
95765-3792
US

IV. Provider business mailing address

PO BOX 921
LINCOLN CA
95648-0921
US

V. Phone/Fax

Practice location:
  • Phone: 916-587-2777
  • Fax:
Mailing address:
  • Phone: 916-587-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164383
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: