Individual provider · Type 1 NPI

Jennifer Fernanda Vallecillo

Mental Health Counselor · San Fernando, CA

NPI number 1003370586 Active

Practice location

566 S Brand Blvd
San Fernando, CA 91340-4002

Call (818) 898-0223 Map

Mailing address

24425 Woolsey Canyon Rd Spc 106
Canoga Park, CA 91304-6928

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1003370586

Jennifer Fernanda Vallecillo's National Provider Identifier is 1003370586, issued on Jan 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Fernando, CA. The record was last updated on Aug 9, 2022.