Jacqueline Martin

NPI #1912667361 in San Dimas, California

Provider Information

NPI Number: 1912667361
Entity Type: Individual
Name: Jacqueline Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 27, 2021
Last Updated: Apr 12, 2023

Practice Location

Address: 762 CYPRESS ST
City: San Dimas
State: California
ZIP Code: 91773-3505
Phone: (909) 599-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X
Counselor	101Y00000X	Primary

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