Individual
JEANETTE CABANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1654 BUCKMAN SPRINGS RD, CAMPO, CA 91906-2004
(619) 473-9022
Mailing address
3305 BUCKMAN SPRINGS RD, PINE VALLEY, CA 91962-4005
(619) 473-9022
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
250084946
CA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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