Individual provider · Type 1 NPI

Jaclyn Marie Vander Veen

Mental Health Counselor · San Bernardino, CA

NPI number 1073715892 Active

Practice location

572 N Arrowhead Ave
San Bernardino, CA 92401-1251

Mailing address

4645 Linwood Pl
Riverside, CA 92506-1030

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073715892

Jaclyn Marie Vander Veen's National Provider Identifier is 1073715892, issued on Jun 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 14, 2010.