Individual
BRIANDA JAQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7510 MONTGOMERY BLVD NE STE 202, ALBUQUERQUE, NM 87109-1500
(505) 948-6483
Mailing address
8100 VISTA SERENA LN SW, ALBUQUERQUE, NM 87121-8993
(505) 948-6483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/11/2023
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