Individual
MS. JACQUELINE MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
(805) 540-6501
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 540-6500
(805) 540-6501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C034330315
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-R-26
ACCBO
OR
Enumeration date
11/28/2016
Last updated
01/30/2026
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