Individual provider · Type 1 NPI
Jeremy Tacbas, LMFT, BCBA
Mental Health Counselor · Dunsmuir, CA
NPI number
1063537512
Active
Practice location
5727 Dunsmuir Ave
Dunsmuir, CA 96025
Fax (530) 500-2474
Mailing address
111 N A St
Mount Shasta, CA 96067-2402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-26591 (CA) |
| Mental Health Counselor Primary | 101YM0800X | 105850 (CA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1063537512
Jeremy Tacbas, LMFT, BCBA's National Provider Identifier is 1063537512, issued on Mar 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dunsmuir, CA. The record was last updated on Jun 8, 2018.