JACQUELINE ALEXANDRA BALAREZO MA MENTAL HEALTH NPI 1124718259

NPI Information

  • NPI: 1124718259
  • Provider Name: JACQUELINE ALEXANDRA BALAREZO, MA MENTAL HEALTH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 100 TOMLINSON PL
    STRATFORD, CT
    ZIP 06614
  • Phone: (203) 543-0142

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NPI Details

Jacqueline Alexandra Balarezo, MA MENTAL HEALTH is a mental health counselor in Stratford, CT. Jacqueline Alexandra Balarezo, MA MENTAL HEALTH NPI is 1124718259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 TOMLINSON PL
STRATFORD, CT
ZIP 06614-062
Phone: (203) 543-0142

The enumeration date for this NPI number is 5/11/2023 and was last updated on 6/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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