Individual provider · Type 1 NPI

Jacqueline M. Jaquez, CASAC-T

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1427676246 Active

Practice location

770 E 176th St
Bronx, NY 10460-4617

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X36299 (NY)

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

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About NPI 1427676246

Jacqueline M. Jaquez, CASAC-T's National Provider Identifier is 1427676246, issued on Jul 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2020.