MR. ROBERTO PEREZ JACQUEZ LPCC
NPI 1992901797
Counselor - Professional in Chamberino, NM
- Individual
- Male
- Counselor
- Professional
About ROBERTO JACQUEZ
This page provides the complete NPI Profile along with additional information for Roberto Jacquez, a provider established in Chamberino, New Mexico with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1992901797 assigned on June 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 006091 (NM). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1992901797 Verify this NPI
- Provider Name
- MR. ROBERTO PEREZ JACQUEZ LPCC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 515 E. LARA ROAD CHAMBERINO, NM 88027
- Location Phone
- (505) 644-2452
- Mailing Address
- PO BOX 307 CHAMBERINO, NM 88027
- Mailing Phone
- (505) 644-2452
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-27-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 006091
- License State
- NM
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992901797, enumerated as an "individual" on June 27, 2007.
The provider is located at 515 E. LARA ROAD CHAMBERINO, NM 88027 and the phone number is (505) 644-2452.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
