Mr. Jack S. Tanenbaum is a Lodi, California based counselor who is specialized as Mental Health Counselor. Active license number of Mr. Jack S. Tanenbaum is LCS 1098 for Mental Health Counselor in California. His current practice location is 1920 Tienda Dr, Ste 101, Lodi. Patients can book an appointment with him at 916-662-5947.
Mr. Jack S. Tanenbaum is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mr. Jack S. Tanenbaum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1154419505
NPI Enumeration Date:
11 Oct, 2006
NPI Last Update On:
01 Oct, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jack S. Tanenbaum are as mentioned below.
License Number
Specialization
State
Status
LCS 1098
Mental Health Counselor
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2715 W Kettleman Ln, Ste 203-113 Lodi, California
Zip:
95242-9289
Phone Number:
916-662-5947
Fax Number:
209-366-1133
Patients can reach Mr. Jack S. Tanenbaum at 1920 Tienda Dr, Ste 101, Lodi, California or can call to book an appointment on 916-662-5947. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.