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Provider Information for 1790139681


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Mrs. RACHEL ANN JABBOUR LMFT


Sex: Female

NPI: 1790139681
Last Updated: 2016-04-18
Certification Date:

Details

NameValue
NPI1790139681
Enumeration Date2016-04-18
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730-7671
United States

Phone: 909-987-1997 | Fax:
 
Primary Practice Address 8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730-7671
United States

Phone: 909-987-1997 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CALMFT89706