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Individual
JACKIELINE PEREZ
Active
Individual
JACKIELINE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
165484
CA
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
07/26/2022
Last updated
09/17/2026
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