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Jacob Nathan Botello
Mental Health Counselor in Hanford, California
NPI 1144944505

Jacob Nathan Botello is a Mental Health Counselor based in Hanford, CA and is specialized in Mental Health. Jacob Nathan Botello practices in Hanford, CA. The NPI Number for Jacob Nathan Botello is 1144944505 and holds a License No. AMFT134787 (California).

The current practice location address for Jacob Nathan Botello is 530 Kings County Dr., Ste 104/106, Hanford, CA and can be reached out via phone at 559-754-3128.

Location: 530 Kings County Dr., Ste 104/106, Hanford, CA, 93230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144944505
Provider Name
Jacob Nathan Botello
Credential
Provider Entity Type
Individual
Gender
Male
Address
530 Kings County Dr., Ste 104/106, Hanford, CA, 93230
Phone Number
559-754-3128
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Kings County Dr., Ste 104/106
City
Hanford
State
California
Zip
93230
Phone Number
559-754-3128
Fax Number
person
Provider Business Mailing Address Details
Address
530 Kings County Dr., Ste 104/106
City
Hanford
State
California
Zip
93230
Phone Number
559-754-3128
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
AMFT134787 (California)
Definition
Definition to come...
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