Individual provider · Type 1 NPI
Jill Matuny Vicino, MS
Mental Health Counselor · Loxahatchee, FL
NPI number
1861550907
Active
Practice location
17566 78th Rd N
Loxahatchee, FL 33470-2929
Fax (561) 383-7864
Mailing address
17566 78th Rd. North
Loxahatchee, FL 33470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH 5187 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1861550907
Jill Matuny Vicino, MS's National Provider Identifier is 1861550907, issued on Dec 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Loxahatchee, FL. The record was last updated on Jul 9, 2007.