Individual provider · Type 1 NPI
Jacqueline San Nicolas
Mental Health Counselor · Los Angeles, CA
NPI number
1225879273
Active
Practice location
1210 N Berendo St Apt 22
Los Angeles, CA 90029-1665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1225879273
Jacqueline San Nicolas's National Provider Identifier is 1225879273, issued on Jun 4, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 26, 2026.