Individual
JESSICA MISERENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LAC
Contact information
Practice address
130 SAND SHORE RD, BUDD LAKE, NJ 07828-1506
(862) 432-9047
Mailing address
130 SAND SHORE RD, BUDD LAKE, NJ 07828-1506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00336000
NJ
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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