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Organization
JACOB'S LADDER THERAPIES
Active
Organization
JACOB'S LADDER THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMETRA JOHNSON LCSW (CEO)
(408) 471-4261
Entity
Organization
Contact information
Practice address
950 S BASCOM AVE STE 1014, SAN JOSE, CA 95128-3537
(408) 471-4261
(408) 608-3986
Mailing address
950 S BASCOM AVE STE 1014, SAN JOSE, CA 95128-3537
(408) 471-4261
(408) 608-3986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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