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Jacob Jeremiah Olivas
Mental Health Counselor in Riverside, California
NPI 1750800579

Jacob Jeremiah Olivas is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Jacob Jeremiah Olivas practices in Riverside, CA. The NPI Number for Jacob Jeremiah Olivas is 1750800579 and holds a License No. (California).

The current practice location address for Jacob Jeremiah Olivas is 1405 Spruce St, Riverside, CA and can be reached out via phone at 951-715-5040.

Location: 1405 Spruce St, Riverside, CA, 92507-2410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750800579
Provider Name
Jacob Jeremiah Olivas
Credential
Provider Entity Type
Individual
Gender
Male
Address
1405 Spruce St, Riverside, CA, 92507-2410
Phone Number
951-715-5040
Fax Number
Provider Enumeration Date
09/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1405 Spruce St
City
Riverside
State
California
Zip
92507-2410
Phone Number
951-715-5040
Fax Number
person
Provider Business Mailing Address Details
Address
1405 Spruce St
City
Riverside
State
California
Zip
92507-2410
Phone Number
951-715-5040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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