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Contact Information

JACQUELINE A JACQUES, LCSW113846
19900 BEACH BLVD
H
HUNTINGTON BEACH, CA92648
 Phone: 877-538-4133
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACQUELINE A JACQUES · (Female)

NPI # 1235638255
Status Active
Credentials LCSW113846
Entity Individual
Enumeration date 02/05/2018
Last updated 06/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 113846
  • CA License # ASW76857
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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