Jaquez, Andrea

Jaquez, Andrea is an individual health care provider with primary practice located at 1300 N 17Th Ave , Greeley CO 80631-9584. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jaquez, Andrea can be contacted via phone (970) 347-2120.

Contact Information

Primary practice address
1300 N 17Th Ave Greeley CO 80631-9584
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1215649579
LBN Legal business name Jaquez, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2022
Last updated Dec 19th, 2022 - about 4 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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