Individual
THOMAS JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11175 SAN PABLO AVE, EL CERRITO, CA 94530-2157
(510) 559-5550
Mailing address
1333 WILLOW PASS RD STE 200, CONCORD, CA 94520-7923
(925) 825-1793
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2022
Last updated
09/04/2023
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