Individual provider · Type 1 NPI

Mary Ellen Sanicola

Mental Health Counselor · San Rafael, CA

NPI number 1962568089 Active

Practice location

914 Mission Ave
San Rafael, CA 94901-6106

Mailing address

PO Box 4296
Santa Rosa, CA 95402-4296

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962568089

Mary Ellen Sanicola's National Provider Identifier is 1962568089, issued on Jan 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.