Individual provider · Type 1 NPI

Jonathan Malicdem

Counselor · Sacramento, CA

NPI number 1619276276 Active

Practice location

4612 Roosevelt Ave
Sacramento, CA 95820-4520

Call (916) 457-3129 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1619276276

Jonathan Malicdem's National Provider Identifier is 1619276276, issued on Mar 22, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 2, 2020.