Individual provider · Type 1 NPI

Jackeline M. Duque

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1376794404 Active

Practice location

622 San Pascual Ave
Los Angeles, CA 90042-3838

Call (213) 487-9800 Map

Fax (213) 487-9801

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

Other addiction (substance use disorder) counselor providers in Los Angeles

See all in Los Angeles →

About NPI 1376794404

Jackeline M. Duque's National Provider Identifier is 1376794404, issued on Oct 7, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 7, 2008.