Devonna Jacobs
Counselor Psychologist
3081 Teagarden St
San Leandro
, California 94577-5720
Devonna Jacobs
Counselor Psychologist
3081 Teagarden St
San Leandro
, California 94577-5720
(510) 347-4620
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About
Features
Specialties
- Counselor
- Psychologist
Languages spoken
- English
Location
First Address
- Devonna Jacobs
- 3081 Teagarden St
- San Leandro, CA
- Zip : 94577-5720
- Phone : (510) 347-4620
Second Address
- Devonna Jacobs
- 3081 Teagarden St
- San Leandro, CA
- Zip : 94577-5720
- Phone : (510) 347-4620
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101Y00000X | Counselor | ||
| N | 102L00000X | Psychologist | ||
| N | 103T00000X | Psychologist |
National Provider Identifier
| NPI | 1003246323 |
|---|---|
| Provider Name | Devonna Jacobs |
| First Address | San Leandro, CA 94577-5720 |
| Second Address | San Leandro, CA 94577-5720 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2013 |
| Last Update Date | 11/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.