Individual provider · Type 1 NPI

Jacqueline Roxanna Mota, MS, PPS

Mental Health Counselor · Rialto, CA

NPI number 1720966229 Active

Practice location

850 E Foothill Blvd
Rialto, CA 92376-5230

Call (909) 659-6290 Map

Mailing address

16492 Tulip Ct
Fontana, CA 92335-5642

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPCC20042 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1720966229

Jacqueline Roxanna Mota, MS, PPS's National Provider Identifier is 1720966229, issued on Aug 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rialto, CA. The record was last updated on Sep 4, 2025.