Individual provider · Type 1 NPI
Amy Vitacolonna, MS
Mental Health Counselor · Lake Jackson, TX
NPI number
1497116875
Active
Practice location
117 Indian Warrior Trl
Lake Jackson, TX 77566-3253
Fax (843) 897-0100
Mailing address
PO Box 15
Angleton, TX 77516-0015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Counselor Primary | 101YM0800X | LH60943631 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1497116875
Amy Vitacolonna, MS's National Provider Identifier is 1497116875, issued on Mar 14, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Jackson, TX. The record was last updated on Apr 8, 2025.