Individual
AZADEH JALALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 S SUNWEST LN STE 200, SAN BERNARDINO, CA 92408-3248
(909) 252-4010
(909) 252-4055
Mailing address
1950 S SUNWEST LN STE 200, SAN BERNARDINO, CA 92408-3248
(909) 252-4010
(909) 252-4055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2015
Last updated
07/01/2022
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