Tracy Jacobsen
Tracy Jacobsen is an Addiction (Substance Use Disorder) Counselor in Riverside, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
3757 Elizabeth StRiverside, CA 92506-2508
Phone: (951) 216-7300
Fax: (951) 216-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1144593237 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 20, 2012 |
| Last updated in NPPES | February 20, 2012 |
| Mailing address | Po Box 549, Lake Elsinore, CA 92531-0549 |
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