Jacqueline A Balarezo, MA MENTAL HEALTH
Counselor, Mental Health in Stratford, Connecticut
1124718259- Practice location
- 100 Tomlinson Pl, Stratford, CT 06614-3062
- Phone
- 203-543-0142
- Fax
- —
- Last updated
- June 13, 2023
Jacqueline Alexandra Balarezo is a Counselor, Mental Health based in Stratford, CT. Jacqueline Alexandra Balarezo practices in Stratford, CT and has the professional credentials of MA MENTAL HEALTH. The NPI Number for Jacqueline Alexandra Balarezo is 1124718259. The current practice location address for Jacqueline Alexandra Balarezo is 100 Tomlinson Pl, Stratford, CT 06614-3062 and can be reached out via phone at 203-543-0142.
Provider Profile Details
- NPI Number
- 1124718259
- Provider Name
- Jacqueline Alexandra Balarezo
- Credential
- MA MENTAL HEALTH
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Tomlinson Pl, Stratford, CT 06614-3062
- Phone Number
- 203-543-0142
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 11, 2023
- Last Update Date
- June 13, 2023
- Certification Date
- June 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Tomlinson Pl
Stratford, CT 06614-3062 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-3062
- Phone Number
- 203-543-0142
Provider Business Mailing Address Details
- Address
- 100 Tomlinson Pl
Stratford, CT 06614-3062 - City
- Stratford
- State
- CT
- Zip
- 06614-3062
- Phone Number
- 203-543-0142
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Stratford, CT
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Frequently Asked Questions
What is the NPI number of Jacqueline A Balarezo, MA MENTAL HEALTH?
The NPI number of Jacqueline A Balarezo, MA MENTAL HEALTH is 1124718259. It was assigned on May 11, 2023 and is currently active in the NPPES registry.
What is the specialty of Jacqueline A Balarezo, MA MENTAL HEALTH?
Jacqueline A Balarezo, MA MENTAL HEALTH is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jacqueline A Balarezo, MA MENTAL HEALTH practice?
The practice location is 100 Tomlinson Pl, Stratford, CT 06614-3062. The office can be reached at 203-543-0142 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124718259 directly on the NPPES registry website.