Individual provider · Type 1 NPI

Jerry Dattilo, BA

Mental Health Counselor · San Mateo, CA

NPI number 1669997854 Active

Practice location

2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382

Fax (650) 513-6122

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669997854

Jerry Dattilo, BA's National Provider Identifier is 1669997854, issued on Aug 8, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Mateo, CA. The record was last updated on Aug 8, 2017.