Individual
JAYMIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
925 ROUTE 73 N STE H, MARLTON, NJ 08053-1277
(856) 842-7881
Mailing address
925 ROUTE 73 N STE H, MARLTON, NJ 08053-1277
(856) 842-7881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00169400
NJ
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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