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Individual

JAZMINE ABIGAIL REBOLLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1350
Mailing address
2940 INLAND EMPIRE BLVD, ONTARIO, CA 91764-4898
(909) 458-1350

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CA
104100000X
Social Worker
Primary
ASW123765
CA
1041C0700X
Clinical Social Worker

Other

Enumeration date
07/10/2023
Last updated
06/22/2025
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