Individual provider · Type 1 NPI

Jesse Locke

Mental Health Counselor · Richmond, CA

NPI number 1033379664 Active

Practice location

2500 Bissell Ave
Richmond, CA 94804-1815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033379664

Jesse Locke's National Provider Identifier is 1033379664, issued on Jun 17, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Richmond, CA. The record was last updated on Jun 17, 2008.