Sarellano-Moreno, Jacqueline

Sarellano-Moreno, Jacqueline is an individual health care provider with primary practice located at 801 Gateway Blvd Ste 100 , South San Francisco CA 94080-7408. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sarellano-Moreno, Jacqueline can be contacted via phone (650) 616-0050.

Contact Information

Primary practice address
801 Gateway Blvd Ste 100 South San Francisco CA 94080-7408
Phone: (650) 616-0050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 115072 California

Profile Details

NPI number 1639688682
LBN Legal business name Sarellano-Moreno, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2017
Last updated Jul 25th, 2025 - about last year

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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