Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edison A Jaquez

Individual provider Mental Health Counselor · NPI 1508658998

Edison A Jaquez is a Mental Health Counselor in Trenton, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

4228 S Broad St Hamilton Township New Jersey
Trenton, NJ 08620-2105
Phone: (609) 475-2560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37AC00871300 (NJ)

Record details

NPI number1508658998
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address10 Burgess Ln, Willingboro, NJ 08046-1638

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