Individual
JENNIFER MARI BARRACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
850 E. FOOTHILL BLVD, RIALTO, CA 92376
(909) 873-4409
(909) 421-4677
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9452
(909) 421-4686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
04/10/2025
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