Guajardo, Jacqueline

Guajardo, Jacqueline is an individual health care provider with primary practice located at 99 Woodland St , Hartford CT 06105-1207. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Guajardo, Jacqueline can be contacted via phone (860) 714-4212.

Contact Information

Primary practice address
99 Woodland St Hartford CT 06105-1207
Phone: (860) 714-4212
Fax: (860) 714-8080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002876 Connecticut
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 7187181 New York

Profile Details

NPI number 1437454717
LBN Legal business name Guajardo, Jacqueline
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2011
Last updated Jul 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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