Individual
JAIME MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
195 BROAD ST, MANASQUAN, NJ 08736-2845
(732) 977-0375
Mailing address
195 BROAD ST, MANASQUAN, NJ 08736-2845
(732) 977-0375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NJ
101YP2500X
Professional Counselor
Primary
37PC00357800
NJ
Other
Enumeration date
10/04/2011
Last updated
09/22/2020
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