Individual
THERESA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
383 W STATE ST, TRENTON, NJ 08618-5705
(609) 394-5181
Mailing address
110 HIBERNIA AVE, LAKEHURST, NJ 08733-3011
(732) 657-6195
(732) 244-3064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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