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Mr. Jacque Matthew Staley
Counselor in Fair Oaks, California
NPI 1518289008

Jacque Matthew Staley is a Counselor based in Fair Oaks, CA. Jacque Matthew Staley practices in Fair Oaks, CA. The NPI Number for Jacque Matthew Staley is 1518289008 and holds a License No. (California).

The current practice location address for Jacque Matthew Staley is 8804 North Winding Way, Fair Oaks, CA and can be reached out via phone at 707-453-6225.

Location: 8804 North Winding Way, Fair Oaks, CA, 95628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518289008
Provider Name
Jacque Matthew Staley
Credential
Provider Entity Type
Individual
Gender
Male
Address
8804 North Winding Way, Fair Oaks, CA, 95628
Phone Number
707-453-6225
Fax Number
Provider Enumeration Date
02/24/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8804 North Winding Way
City
Fair Oaks
State
California
Zip
95628
Phone Number
707-453-6225
Fax Number
person
Provider Business Mailing Address Details
Address
8804 North Winding Way
City
Fair Oaks
State
California
Zip
95628
Phone Number
707-453-6225
Fax Number
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.
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