JAKE ALEXANDER TALLEY

MISSION VIEJO, CA
NPI1972068146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-02-01
Last Update Date2021-09-02
Business Address
JAKE ALEXANDER TALLEY
25402 PACIFICA AVE
MISSION VIEJO, CA 92691-3854
Phone number: 949-238-2400
Mailing Address
JAKE ALEXANDER TALLEY
25402 PACIFICA AVE
MISSION VIEJO, CA 92691-3854
Phone number: 949-238-2400
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