Jacqueline Grace Padilla
Counselor in Riverside, CA. Individual provider (NPI-1).
NPI number1861925398
StatusActive
Last updated in NPPESApr 11, 2017
Details
- NPI
- 1861925398
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Grace Padilla
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2017
- Last updated
- Apr 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
6711 Arlington AveRiverside, CA 92504-1955
Phone 951-742-6380
Mailing address
6711 Arlington AveRiverside, CA 92504-1955
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