JACOB DANIEL RODGERS

SOUTH LAKE TAHOE, CA
NPI1336796838
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-08-20
Last Update Date2019-08-20
Business Address
Mr. JACOB DANIEL RODGERS
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
Mailing Address
Mr. JACOB DANIEL RODGERS
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
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