Individual
JESSICA WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC, NCC
Contact information
Practice address
900 ROUTE 168 STE G3, TURNERSVILLE, NJ 08012-3235
(856) 302-5728
Mailing address
PO BOX 151, DOROTHY, NJ 08317-0151
(609) 602-9822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00404500
NJ
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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