Individual
JACQUELINE ALEXANDRA BALAREZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA MENTAL HEALTH
Contact information
Practice address
100 TOMLINSON PL, STRATFORD, CT 06614-3062
(203) 543-0142
Mailing address
100 TOMLINSON PL, STRATFORD, CT 06614-3062
(203) 543-0142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
06/13/2023
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