JAKE ROBERT HENIGE

SAN CARLOS, CA
NPI1255147849
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  APCC24140)
Enumeration Date2024-12-09
Last Update Date2026-10-12
Business Address
JAKE ROBERT HENIGE
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070-2317
Phone number: 650-649-9016
Mailing Address
JAKE ROBERT HENIGE
1303 SAN CARLOS AVE
SAN CARLOS, CA 94070-2317
Phone number: 650-649-9016