Individual provider · Type 1 NPI

Edison A. Jaquez

Mental Health Counselor · Trenton, NJ

NPI number 1508658998 Active

Practice location

4228 S Broad St Hamilton Township New Jersey
Trenton, NJ 08620-2105

Call (609) 475-2560 Map

Mailing address

10 Burgess Ln
Willingboro, NJ 08046-1638

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00871300 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1508658998

Edison A. Jaquez's National Provider Identifier is 1508658998, issued on May 21, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Trenton, NJ. The record was last updated on May 21, 2025.