Individual provider · Type 1 NPI

Jacob Joseph Fontes, MA

Mental Health Counselor · Lodi, CA

NPI number 1497585830 Active

Practice location

1305 E Vine St
Lodi, CA 95240-3148

Mailing address

8696 Songbird Way
Hilmar, CA 95324-9795

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPCC13232 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1497585830

Jacob Joseph Fontes, MA's National Provider Identifier is 1497585830, issued on Aug 1, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lodi, CA. The record was last updated on Aug 1, 2024.