Individual provider · Type 1 NPI

Jaclyn Renee Banaga I

Counselor · Lompoc, CA

NPI number 1740368919 Active

Practice location

117 N B St
Lompoc, CA 93436-6901

Specialties and licenses

TaxonomyCodeLicense
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 1740368919

Jaclyn Renee Banaga I's National Provider Identifier is 1740368919, issued on Nov 2, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lompoc, CA. The record was last updated on Jul 8, 2007.