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Jessica Chicoine
Mental Health Counselor in Lower Lake, California
NPI 1366834624

Jessica Chicoine is a Mental Health Counselor based in Cobb, CA and is specialized in Mental Health. Jessica Chicoine practices in Lower Lake, CA. The NPI Number for Jessica Chicoine is 1366834624 and holds a License No. 85100 (California).

The current practice location address for Jessica Chicoine is 9430 Lake St, Lower Lake, CA and can be reached out via phone at 707-994-6471.

Location: 9430 Lake St, Lower Lake, CA, 95426-0042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366834624
Provider Name
Jessica Chicoine
Credential
Provider Entity Type
Individual
Gender
Female
Address
9430 Lake St, Lower Lake, CA, 95426-0042
Phone Number
707-994-6471
Fax Number
Provider Enumeration Date
02/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9430 Lake St
City
Lower Lake
State
California
Zip
95457-8600
Phone Number
707-994-6471
Fax Number
person
Provider Business Mailing Address Details
Address
9430 Lake St
City
Lower Lake
State
California
Zip
95457-8600
Phone Number
707-994-6471
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
85100 (California)
Definition
Definition to come...
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