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Jimmy Richard Detels
Mental Health Counselor in San Francisco, California
NPI 1730387234

Jimmy Richard Detels is a Mental Health Counselor based in San Francisco, CA and is specialized in Mental Health. Jimmy Richard Detels practices in San Francisco, CA. The NPI Number for Jimmy Richard Detels is 1730387234 and holds a License No. (California).

The current practice location address for Jimmy Richard Detels is 134 Golden Gate Ave, San Francisco, CA and can be reached out via phone at 415-673-5700 and via fax at 415-292-7140.

Location: 134 Golden Gate Ave, San Francisco, CA, 94102-3810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730387234
Provider Name
Jimmy Richard Detels
Credential
Provider Entity Type
Individual
Gender
Male
Address
134 Golden Gate Ave, San Francisco, CA, 94102-3810
Phone Number
415-673-5700
Fax Number
415-292-7140
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
134 Golden Gate Ave
City
San Francisco
State
California
Zip
94102-3810
Phone Number
415-673-5700
Fax Number
415-292-7140
person
Provider Business Mailing Address Details
Address
134 Golden Gate Ave
City
San Francisco
State
California
Zip
94102-3810
Phone Number
415-673-5700
Fax Number
415-292-7140
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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