Individual provider · Type 1 NPI

Jacob Lane McCormick

Counselor · Mission Viejo, CA

NPI number 1831733633 Active

Practice location

25402 Pacifica Ave
Mission Viejo, CA 92691-3854

Mailing address

26371 Paloma Apt 187
Foothill Ranch, CA 92610-1711

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1831733633

Jacob Lane McCormick's National Provider Identifier is 1831733633, issued on Nov 5, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mission Viejo, CA. The record was last updated on Nov 5, 2019.