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

Neicoo Wallace Jacoby

Individual provider Mental Health Counselor · NPI 1801604764

Neicoo Wallace Jacoby is a Mental Health Counselor in San Marcos, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

334 Via Vera Cruz Ste 259
San Marcos, CA 92078-2643
Phone: (760) 683-5041
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 149619 (CA)

Record details

NPI number1801604764
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 24, 2024
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024
Mailing address1248 San Elijo Rd N, San Marcos, CA 92078-1086

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