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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFF DONOVAN CONKLIN

Active Sole Proprietor

JEFF DONOVAN CONKLIN is a Mental Health Counselor healthcare provider located in GRASS VALLEY, California. NPI 1215102991 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · GRASS VALLEY, CA

Registration Details

NPI Number
1215102991
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2008 (18.121912126277 yrs)
Last Updated
Aug 12, 2021
Licenses
PSY24549 (CA)
PSY 24549 (CA)
Sole Proprietor
Yes

Practice Information

Address
565 BRUNSWICK RD
STE 10
GRASS VALLEY, CA, 959459529
Browse CA providers · Browse ZIP 95945
Phone
5305759056
Fax
5302715992
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in GRASS VALLEY, CA

Name Credential NPI
DEBORAH GAIL UNDERWOOD MFT 1881624492
STACY L. GREEN 1447346911
MR. STEPHEN J SPURRIER 1275666505
DR. LIN K MCNULTY JD, LCSW 1184747099
MS. MARGARET LEA KELLER 1417070053
CHRIS O'BRYAN 1760695126
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.