Mr. Jacob Daniel Rodgers
Mr. Jacob Daniel Rodgers is a Mental Health Counselor in South Lake Tahoe, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1900 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6305
Phone: (530) 573-7970
Fax: (530) 543-6873
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1336796838 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 20, 2019 |
| Last updated in NPPES | August 20, 2019 |
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