Individual provider · Type 1 NPI

Jackson Sauthoff

Mental Health Counselor · Camarillo, CA

NPI number 1245500131 Active

Practice location

1756 S Lewis Rd
Camarillo, CA 93012-8520

Fax (805) 383-3692

Mailing address

1040 Santa Cruz Island Dr, Apt 27
Camarillo, CA 93012-9193

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245500131

Jackson Sauthoff's National Provider Identifier is 1245500131, issued on Jan 9, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Jan 9, 2012.