JACOB BERNIE

UKIAH, CA
NPI1215322565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A02460315)
Enumeration Date2015-04-03
Last Update Date2015-09-30
Business Address
-- JACOB BERNIE
350 E GOBBI ST
UKIAH, CA 95482-5511
Phone number: 707-472-2922
Mailing Address
-- JACOB BERNIE
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-472-2922