Provider Demographics
NPI:1760755466
Name:HARRIGAN, JACQUELINE ELIZABETH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:ELIZABETH
Last Name:HARRIGAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 S WILLARD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-3356
Mailing Address - Country:US
Mailing Address - Phone:692-292-4591
Mailing Address - Fax:695-500-7543
Practice Address - Street 1:434 S WILLARD AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-3356
Practice Address - Country:US
Practice Address - Phone:669-292-4591
Practice Address - Fax:669-500-7543
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-12
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker