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

Eliza Jaquez

Individual provider Mental Health Counselor · NPI 1750875001

Eliza Jaquez is a Mental Health Counselor in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

611 Broadway Rm 611
New York, NY 10012-2650
Phone: (917) 412-4300
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 001457 (NY)

Record details

NPI number1750875001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 20, 2018
Last updated in NPPESJune 20, 2018

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