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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 85100 (CA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Lower Lake
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.