Individual provider · Type 1 NPI
Maureen Mary Jacquot
Mental Health Counselor · San Diego, CA
NPI number
1689119828
Active
Practice location
3132 Jefferson St
San Diego, CA 92110-4421
Mailing address
409 Camino Del Rio S Ste 201
San Diego, CA 92108-3505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 3645 |
Mental Health Counselor: Definition to come...
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About NPI 1689119828
Maureen Mary Jacquot's National Provider Identifier is 1689119828, issued on Dec 26, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Oct 27, 2021.