Micaiah Jacques
Micaiah Jacques is a Developmental Therapist in Northampton, Massachusetts. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
8 Atwood DrNorthampton, MA 01060-4266
Phone: (413) 582-0471
Fax: (413) 585-9765
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Developmental Therapist | Taxonomy 222Q00000X |
Record details
| NPI number | 1104333822 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 3, 2018 |
| Last updated in NPPES | January 26, 2021 |
| Certification date | January 26, 2021 |
| Mailing address | 8 Atwood Dr, Northampton, MA 01060-4266 |
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