Individual provider · Type 1 NPI
Jacqueline Alexandra Balarezo, MA MENTAL HEALTH
Mental Health Counselor · Stratford, CT
NPI number
1124718259
Active
Practice location
100 Tomlinson Pl
Stratford, CT 06614-3062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1124718259
Jacqueline Alexandra Balarezo, MA MENTAL HEALTH's National Provider Identifier is 1124718259, issued on May 11, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stratford, CT. The record was last updated on Jun 13, 2023.