Individual
MR. ALBERT L JACQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
100 W. GRIGGS AVE, LAS CRUCES, NM 88001
(575) 647-2800
(575) 647-2898
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 527-7900
(575) 571-4872
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-05010
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
07/12/2006
Last updated
03/28/2014
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