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

Keith John Jacob

Individual provider Marriage & Family Therapist · NPI 1780574756

Keith John Jacob is a Marriage & Family Therapist in Loma Linda, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

25451 Cole St Apt 3
Loma Linda, CA 92354-3183
Phone: (951) 722-1708
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 155178 (CA)

Record details

NPI number1780574756
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

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