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Jenna Leigh Barraclough, BS

Counselor, Addiction (Substance Use Disorder) in Hesperia, CA. Individual provider (NPI-1).

NPI number1972032068
StatusActive
Last updated in NPPESJun 12, 2017

Details

NPI
1972032068
Entity type
Individual (NPI-1)
Name
Jenna Leigh Barraclough
Credential
BS
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2017
Last updated
Jun 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Other names

  • Jenna Leigh Groom (Former Name)

Practice location

11776 Mariposa Rd
Hesperia, CA 92345-1622

Phone 760-956-2462

Mailing address

15000 Cactus St
Hesperia, CA 92345-3802

Phone 760-680-3046

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