Most Relevant Information
Provider Data
| NPI Number: | 1003408428 |
| Provider Name: | JACQUELYN VANZILE LPCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | C.1901935 |
Most Important Dates
| Enumeration Date: | 02/08/2021 |
| Last Updated: | 05/18/2022 |
Provider Practice Location
5800 MONROE ST BLDG G
SYLVANIA
OH
435602211
Practice Location Phone/Fax
| Phone: | 4198246350 |
| Fax: | 4198223847 |
Provider Mailing Location
333 N SUMMIT ST FL 7
TOLEDO
OH
436041531
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |