Individual provider · Type 1 NPI

Patrick Richard Jenison

Mental Health Counselor · Auburn, CA

NPI number 1215054572 Active

Practice location

11716 Enterprise Dr
Auburn, CA 95603-3732

Mailing address

PO Box 212
Roseville, CA 95661-0212

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1215054572

Patrick Richard Jenison's National Provider Identifier is 1215054572, issued on Mar 23, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Auburn, CA. The record was last updated on Jul 8, 2007.