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Jackie Giselle Villarreal
Mental Health Counselor in Indio, California
NPI 1619727088

Jackie Giselle Villarreal is a Mental Health Counselor based in Indio, CA and is specialized in Mental Health. Jackie Giselle Villarreal practices in Indio, CA. The NPI Number for Jackie Giselle Villarreal is 1619727088 and holds a License No. APCC161660 (California).

The current practice location address for Jackie Giselle Villarreal is 83912 Avenue 45, Indio, CA and can be reached out via phone at 760-347-0754.

Location: 83912 Avenue 45, Indio, CA, 92203-3874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619727088
Provider Name
Jackie Giselle Villarreal
Credential
Provider Entity Type
Individual
Gender
Female
Address
83912 Avenue 45, Indio, CA, 92203-3874
Phone Number
760-347-0754
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
83912 Avenue 45
City
Indio
State
California
Zip
92201-7351
Phone Number
760-347-0754
Fax Number
person
Provider Business Mailing Address Details
Address
83912 Avenue 45
City
Indio
State
California
Zip
92201-7351
Phone Number
760-347-0754
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
APCC161660 (California)
Definition
Definition to come...
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