Individual
JESSICA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 ISLAND RD, RAMSEY, NJ 07446-2813
(845) 826-1954
Mailing address
402 MACOPIN RD, WEST MILFORD, NJ 07480-3737
(845) 826-1954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00412000
NJ
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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