Individual
JESSICA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
179 PALISADE AVE, JERSEY CITY, NJ 07306-1103
(201) 320-7129
Mailing address
179 PALISADE AVE, JERSEY CITY, NJ 07306-1103
(201) 320-7129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00446600
NJ
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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