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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639688682

Jacqueline Sarellano-Moreno is an Addiction (Substance Use Disorder) Counselor in South San Francisco, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
5
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Practice location Address checks out

801 Gateway Blvd Ste 100
South San Francisco, CA 94080-7408
Phone: (650) 616-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1885 Bay Rd, East Palo Alto, CA 94303-1312 — (650) 675-8408
  • 1340 Tully Rd, San Jose, CA 95122 — (408) 271-3900

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 115072 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1639688682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2017
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

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