NPI Profile for JENNIFER L BAQUERO in OSWEGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1134419260 |
|
| Status | Active | |
| Credentials | M.A., LCPC, CADC | |
| Entity | Individual | |
| Enumeration date | 04/11/2011 | |
| Last updated | 07/24/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER L BAQUERO
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