Individual provider · Type 1 NPI
Jill Suzanne Wakefield, LPCC
Mental Health Counselor · Corona, CA
NPI number
1306561139
Active
Practice location
400 Ramona Ave Ste 212H
Corona, CA 92879-1443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 9548 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1306561139
Jill Suzanne Wakefield, LPCC's National Provider Identifier is 1306561139, issued on Oct 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Corona, CA. The record was last updated on Oct 4, 2022.