Individual
JESSICA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4269
Mailing address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00595900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3674509
—
NJ
Enumeration date
09/11/2017
Last updated
09/11/2017
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