Individual provider · Type 1 NPI

Charles Edmund Jacques

Mental Health Counselor · Northampton, MA

NPI number 1669920542 Active

Practice location

50 Pleasant St
Northampton, MA 01060-3909

Call (413) 584-6855 Map

Mailing address

28 Gould St
Ware, MA 01082-1316

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11492 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1669920542

Charles Edmund Jacques's National Provider Identifier is 1669920542, issued on Sep 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Northampton, MA. The record was last updated on Nov 8, 2019.