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Jacob Blotter, MD
Counselor in Fairfield, California
NPI 1588282396

Jacob Blotter is a Counselor based in Fairfield, CA. Jacob Blotter practices in Fairfield, CA and has the professional credentials of MD. The NPI Number for Jacob Blotter is 1588282396 and holds a License No. (California).

The current practice location address for Jacob Blotter is 101 Bodin Cir, Fairfield, CA and can be reached out via phone at 707-423-3000.

Location: 101 Bodin Cir, Fairfield, CA, 94535-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588282396
Provider Name
Jacob Blotter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Bodin Cir, Fairfield, CA, 94535-1809
Phone Number
707-423-3000
Fax Number
Provider Enumeration Date
07/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Fairfield
State
California
Zip
94535-1809
Phone Number
707-423-3000
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Fairfield
State
California
Zip
94535-1809
Phone Number
707-423-3000
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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