Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackelin Chavez Rueda

Individual provider Counselor · NPI 1376962308

Jackelin Chavez Rueda is a Counselor in Lodi, California. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1920 Tienda Dr #101
Lodi, CA 95242
Phone: (209) 647-0398
Fax: (209) 625-0492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X

Record details

NPI number1376962308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2014
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022
Mailing addressP.O. Box 6779, Stockton, CA 95206

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