person
Jackson Sauthoff
Mental Health Counselor in Camarillo, California
NPI 1245500131

Jackson Sauthoff is a Mental Health Counselor based in Camarillo, CA and is specialized in Mental Health. Jackson Sauthoff practices in Camarillo, CA. The NPI Number for Jackson Sauthoff is 1245500131 and holds a License No. (California).

The current practice location address for Jackson Sauthoff is 1756 S Lewis Rd, Camarillo, CA and can be reached out via phone at 805-383-3669 and via fax at 805-383-3692.

Location: 1756 S Lewis Rd, Camarillo, CA, 93012-9193
person
Provider Profile Details
NPI Number
1245500131
Provider Name
Jackson Sauthoff
Credential
Provider Entity Type
Individual
Gender
Male
Address
1756 S Lewis Rd, Camarillo, CA, 93012-9193
Phone Number
805-383-3669
Fax Number
805-383-3692
Provider Enumeration Date
01/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
174400000X 01 CA REHAB ACTIVITY LEADER
institution
Provider Business Practice Location Address Details
Address
1756 S Lewis Rd
City
State
Zip
93012-8520
Phone Number
805-383-3669
Fax Number
805-383-3692
person
Provider Business Mailing Address Details
Address
1756 S Lewis Rd
City
State
Zip
93012-8520
Phone Number
805-383-3669
Fax Number
805-383-3692
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(California)
Definition
Definition to come...
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