Arellano-Jackson, Raquel Marie
Arellano-Jackson, Raquel Marie is an individual health care provider with primary practice located at 1461 E Cooley Dr Suite 100, Colton CA 92324. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Arellano-Jackson, Raquel Marie can be contacted via phone (909) 904-9757.Contact Information
Primary practice address
1461 E Cooley Dr Suite 100
Colton CA 92324
Phone: (909) 904-9757
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ASW68536 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 84193 | California |
Profile Details
| NPI number | 1861860009 |
|---|---|
| LBN Legal business name | Arellano-Jackson, Raquel Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2015 |
| Last updated | Jul 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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