STEPHANIE JACOBSEN
NPI 1124823539
Counselor - Addiction (Substance Use Disorder) in Antioch, CA
Active since February 18, 2025
About Stephanie Jacobsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE JACOBSEN (NPI 1124823539) is an individual addiction (substance use disorder) provider in Antioch, California and active in the NPI registry since February 2025.
NPPES Registry Identity
NPI1124823539
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHANIE JACOBSEN
Location Address1915 D STAntioch, CA 94509-2571
Mailing Address1915 D StAntioch, CA 94509-2571
Phone(925) 754-3673
Sole ProprietorNo
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1124823539 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1915 D ST, Antioch, CA 94509
Other Names 1
Former Name (1)Stephanie Steely
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124823539, enumerated as an "individual" on February 18, 2025.
The provider is located at 1915 D ST ANTIOCH, CA 94509 and the phone number is (925) 754-3673.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
