Individual
JAIME BOTTOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MIN.
Contact information
Practice address
2008 N OLD STAGE RD, MOUNT SHASTA, CA 96067-9045
(530) 859-3475
Mailing address
2008 N OLD STAGE RD, MOUNT SHASTA, CA 96067-9045
(530) 859-3475
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
CA
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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