Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN M. JACOB, PH.D.
Active Sole ProprietorDR. SUSAN M. JACOB, PH.D. is a Professional Counselor healthcare provider located in NEWPORT BEACH, California. NPI 1245246503 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1245246503
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2006 (19.999828847505 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MFT25105 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1101 DOVE STSUITE 160NEWPORT BEACH, CA, 926602839Browse CA providers · Browse ZIP 92660
- Phone
- 9498515022
- Fax
- 9498515123
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| SUZAN AHMAD ALDIMASSI | M.S., MFT | 1235348764 |
| ANURADHA MALIK | LPCC 10889 | 1629473616 |
| MRS. SARAH NASSER LARSEN | MED. ,LPC,LPCC | 1689236861 |
| MS. KAILANI MEDINA | APCC | 1346853512 |
| WILFREDO RYAN GUZON | — | 1932873726 |
| HEATHER FIELD | — | 1437803699 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.