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Ms. Jackeline M Duque
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1376794404

Jackeline M Duque is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Jackeline M Duque practices in Los Angeles, CA. The NPI Number for Jackeline M Duque is 1376794404 and holds a License No. (California).

The current practice location address for Jackeline M Duque is 622 San Pascual Ave, Los Angeles, CA and can be reached out via phone at 213-487-9800 and via fax at 213-487-9801.

Location: 622 San Pascual Ave, Los Angeles, CA, 90042-3838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376794404
Provider Name
Jackeline M Duque
Credential
Provider Entity Type
Individual
Gender
Female
Address
622 San Pascual Ave, Los Angeles, CA, 90042-3838
Phone Number
213-487-9800
Fax Number
213-487-9801
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
622 San Pascual Ave
City
Los Angeles
State
California
Zip
90042-3838
Phone Number
213-487-9800
Fax Number
213-487-9801
person
Provider Business Mailing Address Details
Address
622 San Pascual Ave
City
Los Angeles
State
California
Zip
90042-3838
Phone Number
213-487-9800
Fax Number
213-487-9801
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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