JASPER BEAR

BERKELEY, CA
NPI1245018852
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  150436)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2023-09-15
Last Update Date2024-10-14
Business Address
JASPER BEAR Intern
1820 SCENIC AVE
BERKELEY, CA 94709-1395
Phone number: 510-206-6870
Mailing Address
JASPER BEAR Intern
4900 SHATTUCK AVE P.O. BOX 3275
OAKLAND, CA 94609-2031
Phone number: 510-206-6870
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