JEREMY MARTIN TIETZ

CHICO, CA
NPI1548803208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2019-10-24
Last Update Date2019-10-24
Business Address
MR. JEREMY MARTIN TIETZ
560 COHASSET RD STE 180
CHICO, CA 95926-2460
Phone number: 530-891-2810
Mailing Address
MR. JEREMY MARTIN TIETZ
642 W 4TH AVE
CHICO, CA 95926-3707
Phone number: 530-354-8554