MS. JACKELINE M DUQUE (NPI# 1376794404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376794404 |
| Entity Type | Individual |
| Full Name | MS. JACKELINE M DUQUE |
| Practice Address |
622 San Pascual Ave Los Angeles CA 90042-3838 |
| Practice Telephone | 2134879800 |
| Practice Fax Number | 2134879801 |
| Mailing Telephone | 2134879800 |
| Mailing Fax Number | 2134879801 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
622 SAN PASCUAL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90042-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140432 | Oak and Stone Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5619 North Figueroa Street, #212, Los Angeles, CA 90042 | 2019-12-04 |
| 1730640624 | Maria Guadalupe Bykowski | Nurse Practitioner | Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 | 2019-03-25 |
| 1366935892 | Chris Scott | Physical Therapist | 4295 Via Arbolada #103, Los Angeles, CA 90042 | 2018-06-09 |
| 1043744055 | Magdalene Elise Wilhelm | Counselor | 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 | 2017-04-17 |
| 1669918967 | Sara Semal | Counselor | 5140 1/2 York Blvd, Los Angeles, CA 90042 | 2017-01-10 |
| 1164977427 | Jennifer Ann Walters | Marriage & Family Therapist | 4809 York Blvd, Los Angeles, CA 90042 | 2016-08-16 |
| 1073922415 | Michael Gerald Bauer | Marriage & Family Therapist | 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 | 2014-08-11 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1730480682 | Stat Response Ambulance, Inc. | Secured Medical Transport (VAN) | 4750 York Blvd., Los Angeles, CA 90042 | 2010-11-09 |
| 1427295377 | Carmen Castellon | Dental Assistant | 5807 M Figueroa St, Los Angeles, CA 90042 | 2009-01-14 |
| Find all providers in zip 90042 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90042 |
Please comment or provide details below to improve the information on MS. JACKELINE M DUQUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.