Individual provider · Type 1 NPI

Jacqueline Calvary Deherrera

Addiction (Substance Use Disorder) Counselor · Norwalk, CA

NPI number 1851258669 Active

Practice location

11902 Rosecrans Ave Ste D
Norwalk, CA 90650-4197

Call (562) 929-7188 Map

Fax (562) 929-7575

Mailing address

3380 E Andy St Apt 3
Long Beach, CA 90805-4535

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 1851258669

Jacqueline Calvary Deherrera's National Provider Identifier is 1851258669, issued on Jan 6, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Norwalk, CA. The record was last updated on Jan 6, 2026.