Organization
FIVE ACRES
Active
Other names
Parents Anonymous Antelope Valley
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BARRAZA AMFT (CLINICIAN)
(323) 594-4654
Entity
Organization
Contact information
Practice address
867 N FAIR OAKS AVE, PASADENA, CA 91103-3050
(626) 798-6793
Mailing address
760 MOUNTAIN VIEW ST, ALTADENA, CA 91001-4996
(626) 798-6793
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
01/26/2026
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