Jacqueline Gentry
NPI #1780215335 in Hesperia, California
Provider Information
- NPI Number
- 1780215335
- Entity Type
- Individual
- Name
- Jacqueline Gentry
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 3, 2020
- Last Updated
- Feb 12, 2020
Practice Location
- Address
- 11776 MARIPOSA RD
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-1622
- Phone
- (760) 956-7542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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