Individual provider · Type 1 NPI

Nactalye Vicencio

Mental Health Counselor · Modesto, CA

NPI number 1679019285 Active

Practice location

3601 Prescott Rd Apt 71
Modesto, CA 95356-0796

Call (831) 265-9328 Map

Other practice locations

  • 3601 Prescott Rd Apt 71, Modesto, CA 95356-0796

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679019285

Nactalye Vicencio's National Provider Identifier is 1679019285, issued on Jan 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Modesto, CA. The record was last updated on Dec 28, 2020.