Individual provider · Type 1 NPI

Jake Alexander Talley

Mental Health Counselor · Mission Viejo, CA

NPI number 1972068146 Active

Practice location

25402 Pacifica Ave
Mission Viejo, CA 92691-3854

Call (949) 238-2400 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972068146

Jake Alexander Talley's National Provider Identifier is 1972068146, issued on Feb 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mission Viejo, CA. The record was last updated on Sep 2, 2021.