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

Jacob Rose

Individual provider Marriage & Family Therapist · NPI 1972207553

Jacob Rose is a Marriage & Family Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

12665 Village Ln Apt 3519
Los Angeles, CA 90094-2853
Phone: (415) 686-2327
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 137184 (CA)

Record details

NPI number1972207553
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2023
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

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