Individual
JACQUELINE HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 QUEBEC AVE., CORCORAN, CA, CA SUBSTANCE ABUSE TREATMENT FACILITY-CO, CA 93212-9715
(559) 992-7100
Mailing address
900 QUEBEC AVE, CORCORAN, CA 93212-9715
(559) 992-7100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
86127
CA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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