Individual provider · Type 1 NPI

Alfonzo Jaquez, MA

Mental Health Counselor · Allentown, PA

NPI number 1124286596 Active

Practice location

210 N 6th St
Allentown, PA 18102-4112

Call (484) 221-9135 Map

Fax (484) 221-9130

Mailing address

2030 W Tilghman St, Suite 105B
Allentown, PA 18104-4354

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124286596

Alfonzo Jaquez, MA's National Provider Identifier is 1124286596, issued on Jun 1, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Allentown, PA. The record was last updated on Jun 2, 2008.