MS. Jackie Bustamante
MS. Jackie Bustamante is a Marriage & Family Therapist in Banning, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
2200 W Wilson St Spc 33Banning, CA 92220-3953
Phone: (840) 336-3506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 30317 (CA) |
|---|
Record details
| NPI number | 1174682009 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2006 |
| Last updated in NPPES | February 22, 2026 |
| Certification date | February 22, 2026 |
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