Individual
JACKELYN M ARREGUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E GILBERT ST, SAN BERNARDINO, CA 92415-4221
(909) 386-0751
Mailing address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-0936
(626) 542-8094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW122612
CA
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/01/2022
Last updated
07/16/2024
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