Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY DATTILO, BA
ActiveJERRY DATTILO, BA is a Mental Health Counselor healthcare provider located in SAN MATEO, California. NPI 1669997854 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SAN MATEO, CA
Registration Details
- NPI Number
- 1669997854
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2017 (8.9922428794877 yrs)
- Last Updated
- Aug 8, 2017
Practice Information
- Address
-
2600 S EL CAMINO REAL STE 200SAN MATEO, CA, 944032382Browse CA providers · Browse ZIP 94403
- Phone
- 6505136122
- Fax
- 6505136122
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in SAN MATEO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. JAY EARL BRAY | L.C.S.W. | 1467462937 |
| MRS. ADRIENNE CANE ILANG | M.A. | 1649344623 |
| DAMON NIM | — | 1326115452 |
| DREW YURKOV | — | 1225181456 |
| LINDY HEWITT | LINDY HEWITT MFT | 1750420923 |
| MRS. KATHRYN SCHELLBACH ROGERS | MFT | 1205970688 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.