Jacob C Tanner
Jacob C Tanner is a Mental Health Counselor in Moreno Valley, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
13800 Heacock St Ste C236Moreno Valley, CA 92553-3364
Phone: (951) 656-2614
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1467772806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2010 |
| Last updated in NPPES | March 24, 2011 |
| Mailing address | 243 N Meridian Ave Spc 71, San Bernardino, CA 92410-1317 |
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