Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Joseph Gordon Graham

Individual provider Marriage & Family Therapist · NPI 1861191330

Jacob Joseph Gordon Graham is a Marriage & Family Therapist in Pasadena, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

650 Sierra Madre Villa Ave Ste 110
Pasadena, CA 91107-2040
Phone: (626) 351-9616
Fax: (626) 351-9493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 135841 (CA)

Record details

NPI number1861191330
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2023
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023

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