EDISON A JAQUEZ

TRENTON, NJ
NPI1508658998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  37AC00871300)
Enumeration Date2025-05-21
Last Update Date2025-05-21
Business Address
EDISON A JAQUEZ
4228 S BROAD ST HAMILTON TOWNSHIP NEW JERSEY
TRENTON, NJ 08620-2105
Phone number: 609-475-2560
Mailing Address
EDISON A JAQUEZ
10 BURGESS LN
WILLINGBORO, NJ 08046-1638
Phone number: 732-362-1897
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