Individual
JACQUELINE ANN JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5409 MARYLAND WAY STE 202, BRENTWOOD, TN 37027-1084
(615) 373-9955
Mailing address
5409 MARYLAND WAY STE 202, BRENTWOOD, TN 37027-1084
(615) 373-9955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC0000005254
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC0000005254
LPC
TN
Enumeration date
01/11/2022
Last updated
01/11/2022
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