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