Individual provider · Type 1 NPI

Jacqueline Villicana

Addiction (Substance Use Disorder) Counselor · Fowler, CA

NPI number 1235655176 Active

Practice location

311 E Merced St
Fowler, CA 93625-2316

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17017 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1235655176

Jacqueline Villicana's National Provider Identifier is 1235655176, issued on Aug 22, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fowler, CA. The record was last updated on Dec 21, 2023.