Jaques, Vernon Thomas
Jaques, Vernon Thomas is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd , Gallup NM 87301-5748. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jaques, Vernon Thomas can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E. Nizhoni Blvd
Gallup NM 87301-5748
Phone: (505) 722-1000
Fax: (928) 697-4189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-10278 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | M-04628 | New Mexico |
Profile Details
| NPI number | 1689746554 |
|---|---|
| LBN Legal business name | Jaques, Vernon Thomas |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jun 10th, 2020 - 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.
Popular Providers
-
Lacayo, Joseph Marion
513 Williams St Bldg 15 , Gallup NM 87301-4799 -
Ashley, Carole
2105 Hasler Valley Rd. , Gallup NM 87301 -
Geary, Sandra Ann
333 E Jefferson St , Gallup NM 87301-5113 -
Frazier, Carol A
513 Williams St Bldg 15 G-Prrtp Va Transition Center, Gallup NM 87301-4799 -
Huyck, Charles Alexander
516 E Nizhoni Blvd , Gallup NM 87301-5748 -
Asamoa-Tutu, Sierra Rose Yazzie
2025 E Aztec Ave , Gallup NM 87301-4803 -
Spencer, Betty Sharon
516 E Nizhoni Blvd , Gallup NM 87301-5748 -
Martinez, Judy
516 E Nizhoni Blvd , Gallup NM 87301-5748