Individual
MISS JACQUELINE AVITIA-JAQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5801 OSUNA RD NE STE 102, ALBUQUERQUE, NM 87109-2587
(505) 639-4769
Mailing address
5801 OSUNA RD NE STE 102, ALBUQUERQUE, NM 87109-2587
(505) 639-4769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20240853
NM
Other
Enumeration date
06/03/2024
Last updated
08/27/2025
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