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Jeffrey Blake Bissell
Counselor in Santa Cruz, California
NPI 1942700869

Jeffrey Blake Bissell is a Counselor based in Santa Cruz, CA. Jeffrey Blake Bissell practices in Santa Cruz, CA. The NPI Number for Jeffrey Blake Bissell is 1942700869 and holds a License No. (California).

The current practice location address for Jeffrey Blake Bissell is 380 Encinal St Ste 200, Santa Cruz, CA and can be reached out via phone at 831-469-1700 and via fax at 831-425-1905.

Location: 380 Encinal St Ste 200, Santa Cruz, CA, 95060-2178
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942700869
Provider Name
Jeffrey Blake Bissell
Credential
Provider Entity Type
Individual
Gender
Male
Address
380 Encinal St Ste 200, Santa Cruz, CA, 95060-2178
Phone Number
831-469-1700
Fax Number
831-425-1905
Provider Enumeration Date
02/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
380 Encinal St Ste 200
City
Santa Cruz
State
California
Zip
95060-2178
Phone Number
831-469-1700
Fax Number
831-425-1905
person
Provider Business Mailing Address Details
Address
380 Encinal St Ste 200
City
Santa Cruz
State
California
Zip
95060-2178
Phone Number
831-469-1700
Fax Number
831-425-1905
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
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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