Individual provider · Type 1 NPI

Antonella Marcella Vassallo

Mental Health Counselor · Fremont, CA

NPI number 1669649307 Active

Practice location

40950 Chapel Way
Fremont, CA 94538-4236

Mailing address

1052 Renee Ct
San Jose, CA 95120-3338

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669649307

Antonella Marcella Vassallo's National Provider Identifier is 1669649307, issued on May 12, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fremont, CA. The record was last updated on May 12, 2008.