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1497585830
JACOB JOSEPH FONTES
LODI, CA
NPI
1497585830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA APCC13232)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
Mr. JACOB JOSEPH FONTES MA
1305 E VINE ST
LODI, CA 95240-3148
Phone number: 209-331-7000
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Mailing Address
Mr. JACOB JOSEPH FONTES MA
8696 SONGBIRD WAY
HILMAR, CA 95324-9795
Phone number: 209-485-1189
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