Jessie Tate

NPI #1114110368 in Richmond, California

Provider Information

NPI Number: 1114110368
Entity Type: Individual
Name: Jessie Tate
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 21, 2007
Last Updated: Aug 21, 2007

Practice Location

Address: 4501 TAFT AVE
City: Richmond
State: California
ZIP Code: 94804-3449
Phone: (510) 235-3172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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