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Mr. Jonathan Malicdem
Counselor in Sacramento, California
NPI 1619276276

Jonathan Malicdem is a Counselor based in Sacramento, CA. Jonathan Malicdem practices in Sacramento, CA. The NPI Number for Jonathan Malicdem is 1619276276 and holds a License No. (California).

The current practice location address for Jonathan Malicdem is 4612 Roosevelt Ave, Sacramento, CA and can be reached out via phone at 916-457-3129.

Location: 4612 Roosevelt Ave, Sacramento, CA, 95820-4520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619276276
Provider Name
Jonathan Malicdem
Credential
Provider Entity Type
Individual
Gender
Male
Address
4612 Roosevelt Ave, Sacramento, CA, 95820-4520
Phone Number
916-457-3129
Fax Number
Provider Enumeration Date
03/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4612 Roosevelt Ave
City
Sacramento
State
California
Zip
95820-4520
Phone Number
916-457-3129
Fax Number
person
Provider Business Mailing Address Details
Address
4612 Roosevelt Ave
City
Sacramento
State
California
Zip
95820-4520
Phone Number
916-457-3129
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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