Individual provider · Type 1 NPI

Jeffrey Blake Bissell

Counselor · Santa Cruz, CA

NPI number 1942700869 Active

Practice location

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Call (831) 469-1700 Map

Fax (831) 425-1905

Other practice locations

  • 716 Ocean St, Santa Cruz, CA 95060-4032 · (831) 423-2003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
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 1942700869

Jeffrey Blake Bissell's National Provider Identifier is 1942700869, issued on Feb 16, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Mar 17, 2018.