MR. Roberto Perez Jacquez, LPCC
NPI #1992901797 in Chamberino, New Mexico
Provider Information
- NPI Number
- 1992901797
- Entity Type
- Individual
- Name
- MR. Roberto Perez Jacquez, LPCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPCC
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 515 E. LARA ROAD
- City
- Chamberino
- State
- New Mexico
- ZIP Code
- 88027-0307
- Phone
- (505) 644-2452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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