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

Tanna Marie Jacob, MAMFTA

Individual provider Rehabilitation Practitioner · NPI 1902350390

Tanna Marie Jacob, MAMFTA is a Rehabilitation Practitioner in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
3

Practice location Address checks out

801 E Chapman Ave #203
Fullerton, CA 92831-3839
Phone: (714) 680-9000
Fax: (714) 680-8233
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 112743 (CA)
Rehabilitation Practitioner Taxonomy 225400000X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902350390
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAMFTA
Sole proprietorYes
NPI enumeratedAugust 15, 2016
Last updated in NPPESApril 8, 2019

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