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Dr. Jacqueline J. Bae, MD
Nutrition Education Nutritionist in Lakeport, California
NPI 1245521749

Jacqueline J. Bae is a Nutrition Education Nutritionist based in Lakeport, CA and is specialized in Nutrition, Education. Jacqueline J. Bae practices in Lakeport, CA and has the professional credentials of MD. The NPI Number for Jacqueline J. Bae is 1245521749 and holds a License No. (California).

The current practice location address for Jacqueline J. Bae is 925 Bevins Ct, Lakeport, CA and can be reached out via phone at 707-263-8382 and via fax at 707-263-0329.

Location: 925 Bevins Ct, Lakeport, CA, 95453-1558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245521749
Provider Name
Jacqueline J. Bae
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
925 Bevins Ct, Lakeport, CA, 95453-1558
Phone Number
707-263-8382
Fax Number
707-263-0329
Provider Enumeration Date
05/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
925 Bevins Ct
City
Lakeport
State
California
Zip
95453-9754
Phone Number
707-263-8382
Fax Number
707-263-0329
person
Provider Business Mailing Address Details
Address
925 Bevins Ct
City
Lakeport
State
California
Zip
95453-9754
Phone Number
707-263-8382
Fax Number
707-263-0329
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
()
Definition
Definition to come...
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