person
J-rah Poblano
Addiction (Substance Use Disorder) Counselor in Pasadena, California
NPI 1881283703

J-rah Poblano is an Addiction (Substance Use Disorder) Counselor based in Pasadena, CA and is specialized in Addiction (Substance Use Disorder). J-rah Poblano practices in Pasadena, CA. The NPI Number for J-rah Poblano is 1881283703 and holds a License No. R1417860121 (California).

The current practice location address for J-rah Poblano is 1450 N Lake Ave Ste 150, Pasadena, CA and can be reached out via phone at 818-203-2901.

Location: 1450 N Lake Ave Ste 150, Pasadena, CA, 91104-2388
person
Provider Profile Details
NPI Number
1881283703
Provider Name
J-rah Poblano
Credential
Provider Entity Type
Individual
Gender
Female
Address
1450 N Lake Ave Ste 150, Pasadena, CA, 91104-2388
Phone Number
818-203-2901
Fax Number
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881283703 01 NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
institution
Provider Business Practice Location Address Details
Address
1450 N Lake Ave Ste 150
City
State
Zip
91104-2388
Phone Number
818-203-2901
Fax Number
person
Provider Business Mailing Address Details
Address
1450 N Lake Ave Ste 150
City
State
Zip
91104-2388
Phone Number
818-203-2901
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1417860121 (California)
Definition
Definition to come...
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