Individual provider · Type 1 NPI

Jessica Lourdes Casillas

Mental Health Counselor · Diamond Springs, CA

NPI number 1508491952 Active

Practice location

4250 Fowler Ln Ste 204
Diamond Springs, CA 95619-9782

Call (530) 626-3105 Map

Fax (530) 642-1233

Mailing address

PO Box 652
Jackson, CA 95642-0652

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508491952

Jessica Lourdes Casillas's National Provider Identifier is 1508491952, issued on Mar 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Diamond Springs, CA. The record was last updated on Mar 5, 2020.