Balarezo, Jacqueline Alexandra
Balarezo, Jacqueline Alexandra is an sole proprietor health care provider with primary practice located at 100 Tomlinson Pl , Stratford CT 06614-3062. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Balarezo, Jacqueline Alexandra can be contacted via phone (203) 543-0142.Contact Information
Primary practice address
100 Tomlinson Pl
Stratford CT 06614-3062
Phone: (203) 543-0142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1124718259 |
|---|---|
| LBN Legal business name | Balarezo, Jacqueline Alexandra |
| Credentials | MA MENTAL HEALTH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2023 |
| Last updated | Jun 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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