Jacqueline Gentry
Jacqueline Gentry is an Addiction (Substance Use Disorder) Counselor in Hesperia, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
11776 Mariposa RdHesperia, CA 92345-1622
Phone: (760) 956-7542
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1780215335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 3, 2020 |
| Last updated in NPPES | February 12, 2020 |
| Certification date | February 12, 2020 |
| Mailing address | 16065 Andover Dr, Victorville, CA 92394-1432 |
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11776 Mariposa Rd # 103, Hesperia, CA 92345-1622 · (760) 956-2462
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11776 Mariposa Rd Ste 103, Hesperia, CA 92345-1622 · (760) 956-2462
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