MS. Jodi Beth Jacques, M.S.

NPI #1083639967 in Gloversville, New York

Provider Information

NPI Number: 1083639967
Entity Type: Individual
Name: MS. Jodi Beth Jacques, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: M.S.
Enumeration Date: Jul 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11-21 BROADWAY ST
City: Gloversville
State: New York
ZIP Code: 12078-3968
Phone: (518) 725-4310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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