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General NPI Number Information
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NPI Number | 1164808333
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Entity Type | Individual
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Provider Name | JESSICA NAVARRETE
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Gender | Female
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 572 N ARROWHEAD AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92401-1251
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Country | US
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Telephone | 626-861-5375
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 532
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City | MT BALDY
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State | CA
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Zip | 91759-0532
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 110717
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ASW110717
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License Number State | CA
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