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Individual

MS. JACQUELYN DENISE BENIQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
10 MCKOWN RD STE 102, ALBANY, NY 12203-3496
(518) 210-7707
Mailing address
162 CEDARVIEW LN, WATERVLIET, NY 12189-2954
(518) 210-7707

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001784-1
NY

Other

Enumeration date
06/02/2008
Last updated
01/12/2015
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