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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERTO PEREZ JACQUEZ, LPCC

Active Sole Proprietor

MR. ROBERTO PEREZ JACQUEZ, LPCC is a Professional Counselor healthcare provider located in CHAMBERINO, New Mexico. NPI 1992901797 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CHAMBERINO, NM

Registration Details

NPI Number
1992901797
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2007 (19.122801892359 yrs)
Last Updated
Jul 8, 2007
License
006091 (NM)
Sole Proprietor
Yes

Practice Information

Address
515 E. LARA ROAD
CHAMBERINO, NM, 880270307
Browse NM providers · Browse ZIP 88027
Phone
5056442452
Primary Specialty
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.