JACOB COLONGIONE

GRASS VALLEY, CA
NPI1770092629
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-09-22
Last Update Date2017-09-22
Business Address
JACOB COLONGIONE
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9561
Phone number: 530-273-5440
Mailing Address
JACOB COLONGIONE
500 CROWN POINT CIR
GRASS VALLEY, CA 95945-9561
Phone number: 530-273-5440