Individual provider · Type 1 NPI

Wendi-Jo Bianca Cancilla, LMHC

Mental Health Counselor · Jacksonville, FL

NPI number 1194958934 Active

Practice location

4080 Woodcock Dr, Midtown Centre, Building 2400, Suite 105
Jacksonville, FL 32207-2722

Call (904) 396-1770 Map

Fax (904) 396-1897

Mailing address

PO Box 19249
Jacksonville, FL 32245-9249

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH8430 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1194958934

Wendi-Jo Bianca Cancilla, LMHC's National Provider Identifier is 1194958934, issued on Aug 27, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 27, 2009.