Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Ebenezer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942833173

John Ebenezer is a Student in an Organized Health Care Education/Training Program in Placerville, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
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Practice location Address checks out

670 Placerville Dr
Placerville, CA 95667-4200
Phone: (530) 644-2412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1942833173
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2020
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address670 Placerville Dr, Placerville, CA 95667-4200

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