Individual provider · Type 1 NPI

Jacqueline Marcial

Addiction (Substance Use Disorder) Counselor · Colton, CA

NPI number 1073352647 Active

Practice location

11646 Encanto Ln
Colton, CA 92324-9218

Mailing address

3286 E Guasti Rd
Ontario, CA 91761-8645

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073352647

Jacqueline Marcial's National Provider Identifier is 1073352647, issued on May 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Colton, CA. The record was last updated on Apr 3, 2026.