Sarellano-Moreno, Jacqueline

Sarellano-Moreno, Jacqueline is an individual health care provider with primary practice located at 1885 Bay Rd , East Palo Alto CA 94303-1312. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Sarellano-Moreno, Jacqueline can be contacted via phone (650) 675-8408.

Contact Information

Primary practice address
1885 Bay Rd East Palo Alto CA 94303-1312
Phone: (650) 675-8408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1639688682
LBN Legal business name Sarellano-Moreno, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2017
Last updated Sep 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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