Healthcare Provider Details

I. General information

NPI: 1326671546
Provider Name (Legal Business Name): JENNIFER JOAN CILANO LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 E CHESTNUT ST
ASHEVILLE NC
28801-2330
US

IV. Provider business mailing address

191 E CHESTNUT ST
ASHEVILLE NC
28801-2330
US

V. Phone/Fax

Practice location:
  • Phone: 828-242-6699
  • Fax:
Mailing address:
  • Phone: 828-242-6699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: