Individual
JILLIAN DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 MEADOWOOD DR, LANGHORNE, PA 19047-1616
(215) 750-4000
Mailing address
8 CHERRY ST, GLASSBORO, NJ 08028-2814
(609) 221-3191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC01018200
NJ
101YP2500X
Professional Counselor
Primary
PC016130
PA
Other
Enumeration date
03/28/2024
Last updated
04/01/2024
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