Individual provider · Type 1 NPI

Jack Sallaberry

Student in an Organized Health Care Education/Training Program · San Mateo, CA

NPI number 1821831900 Active

Practice location

2000 Alameda De Las Pulgas
San Mateo, CA 94403-1269

Mailing address

571 Arlington Ave
Berkeley, CA 94707-1641

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821831900

Jack Sallaberry's National Provider Identifier is 1821831900, issued on Jun 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Mateo, CA. The record was last updated on Jun 17, 2024.