| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JACQUILYN E WOLLIN | 1376265363 | 2022-09-15 |
Jacquilyn E Wollin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1376265363. Registration indicates Jacquilyn E Wollin is a provider of services with a specialization in Nursing Service Related Providers, Doula (Doula, Nursing Service Related Providers) (Doula, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Jacquilyn E Wollin |
| Practice Office Address | 3570 CAMINO DEL RIO N STE 105 SAN DIEGO, CA US |
| Practice Office Telephone | 6195079333 |
| Practice Office Fax | 6194674595 |
| Mailing Address | 3570 CAMINO DEL RIO N STE 105 SAN DIEGO, CA 921081747 US |
| Business Telephone | 6195079333 |
| Business Fax | 6194674595 |
| Code | Practice | License No State |
|---|---|---|
| 374J00000X | Nursing Service Related Providers Doula Doula Nursing Service Related Providers Doula | |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |