Individual provider · Type 1 NPI

Jessica Chicoine

Mental Health Counselor · Lower Lake, CA

NPI number 1366834624 Active

Practice location

9430 Lake St
Lower Lake, CA 95457-8600

Mailing address

PO Box 42
Cobb, CA 95426-0042

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X85100 (CA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1366834624

Jessica Chicoine's National Provider Identifier is 1366834624, issued on Feb 24, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lower Lake, CA. The record was last updated on Mar 17, 2021.