JACK TANENBAUM, LCSW

LCSW

Mental Health Counselor

NPI: 1154419505Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

LCS 1098(CA)

Contact & Hours

Address: 1920 TIENDA DR, STE 101
LODI, CA 95242
Phone: (916) 662-5947

Location

Practice Location

1920 TIENDA DR, LODI, CA

Quick Facts

NPI: 1154419505
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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