Blanco, Jacqueline

Blanco, Jacqueline is an individual health care provider with primary practice located at 5190 Nw 167Th St Ste 215 , Miami Lakes FL 33014-6338. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blanco, Jacqueline can be contacted via phone (305) 456-4147.

Contact Information

Primary practice address
5190 Nw 167Th St Ste 215 Miami Lakes FL 33014-6338
Phone: (305) 456-4147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY10958 Florida

Profile Details

NPI number 1477299956
LBN Legal business name Blanco, Jacqueline
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2022
Last updated May 9th, 2022 - 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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