Individual provider · Type 1 NPI
Roberto Perez Jacquez, LPCC
Professional Counselor · Chamberino, NM
NPI number
1992901797
Active
Practice location
515 E. Lara Road
Chamberino, NM 88027-0307
Mailing address
PO Box 307
Chamberino, NM 88027-0307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 006091 (NM) |
Professional Counselor: Definition to come...
About NPI 1992901797
Roberto Perez Jacquez, LPCC's National Provider Identifier is 1992901797, issued on Jun 27, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chamberino, NM. The record was last updated on Jul 8, 2007.