Individual provider · Type 1 NPI

Jacqueline Reyes, RS5847

Addiction (Substance Use Disorder) Counselor · Colton, CA

NPI number 1942490974 Active

Practice location

1076 Santo Antonio Dr Ste B
Colton, CA 92324-8183

Fax (909) 433-9527

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 1942490974

Jacqueline Reyes, RS5847's National Provider Identifier is 1942490974, issued on Jul 26, 2007. 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 Jul 26, 2007.