Individual provider · Type 1 NPI

Javarri Rashad Hides

Mental Health Counselor · San Bernardino, CA

NPI number 1790490076 Active

Practice location

700 E Gilbert St
San Bernardino, CA 92415-0057

Mailing address

658 E Brier Dr Ste 200
San Bernardino, CA 92408-2847

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X113273 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1790490076

Javarri Rashad Hides's National Provider Identifier is 1790490076, issued on Jan 20, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 23, 2023.