Jenna Leigh Barraclough, BS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hesperia, CA
NPI 1972032068 · NPPES record last updated Jun 12, 2017
Key facts
- NPI
- 1972032068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 11776 Mariposa Rd
Hesperia, CA 92345-1622 - Phone
- (760) 956-2462
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Medical Group, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
11776 Mariposa Rd
Hesperia, CA 92345-1622
Mailing address
15000 Cactus St
Hesperia, CA 92345-3802
Phone (760) 680-3046
Other names
- Jenna Leigh Groom
Other providers in Hesperia, CA
- Thammy C Banaag
- Roxanne Shizu Barbe
- Willie Jean Barefield
- Jolene Rose Barnes
- Tiffany Barnes
- Yadira Barraza
- Valerie Lynn Barrows
- Sheila M Bartlett
- Jennifer Cathrin Bayle
- BC Health Center
All providers in Hesperia, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.