Theresa Ann Jaques, MHPP Valid NPI

Individual provider · Counselor · Mountain Home, AR

NPI

1952630758

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

Sex

Female

Sole proprietor

No

Enumerated

2009-12-08

Last updated

2009-12-08