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1144944505
JACOB NATHAN BOTELLO
HANFORD, CA
NPI
1144944505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA AMFT134787)
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
JACOB NATHAN BOTELLO
530 KINGS COUNTY DR., STE 104/106
HANFORD, CA 93230
Phone number: 559-754-3128
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Mailing Address
JACOB NATHAN BOTELLO
530 KINGS COUNTY DR., STE 104/106
HANFORD, CA 93230
Phone number:
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