Individual provider · Type 1 NPI

Jennifer Nielson

Mental Health Counselor · Lakeport, CA

NPI number 1396173555 Active

Practice location

1711 Mellor Dr
Lakeport, CA 95453-3413

Call (707) 245-9472 Map

Fax (707) 279-8564

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X105816 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1396173555

Jennifer Nielson's National Provider Identifier is 1396173555, issued on Oct 28, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeport, CA. The record was last updated on Apr 29, 2025.