Provider Demographics
NPI:1821118720
Name:HAUGHT, JACQUELINE J (L AC)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:J
Last Name:HAUGHT
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 JOHN YAEGER RD
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-3123
Mailing Address - Country:US
Mailing Address - Phone:845-657-2710
Mailing Address - Fax:
Practice Address - Street 1:60 JOHN YAEGER RD
Practice Address - Street 2:
Practice Address - City:SAUGERTIES
Practice Address - State:NY
Practice Address - Zip Code:12477-3123
Practice Address - Country:US
Practice Address - Phone:845-657-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist