Individual
KAYLA MARIE JACQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
8 ATWOOD DR, NORTHAMPTON, MA 01060-4266
(413) 582-0471
Mailing address
8 ATWOOD DR, NORTHAMPTON, MA 01060-4266
(413) 582-0471
(413) 585-9765
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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