Individual
MS. JACQUELINE NICOLE VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
3131 E 2ND ST, TUCSON, AZ 85716-4209
(520) 477-8697
Mailing address
3131 E 2ND ST, TUCSON, AZ 85716-4209
(520) 477-8697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
22933
AZ
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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