Healthcare Provider Details

I. General information

NPI: 1710399639
Provider Name (Legal Business Name): FABIOLA JASMINE QUIJANO BELLINGER LCSW, MSW, CADC II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FABIOLA JASMINE QUIJANO LCSW, MSW, CADC II

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BUILDING 16105 11TH STREET
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

1100 SPORTFISHER DR
OCEANSIDE CA
92054-2550
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-5946
  • Fax:
Mailing address:
  • Phone: 760-439-6702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberAII057100518
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW136313
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: