SearchNew Mexico101YP2500X

Roberto Jacquez, LPCC

NPI 1992901797 · on the registry since 2007 · sole proprietor

Practice

Address
515 E. Lara Road
Chamberino, NM 88027
Phone
(505) 644-2452

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico