Individual
JACQUELINE STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER RECOVERY SPECIA
Contact information
Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 704-1790
(908) 704-1790
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 704-1790
(908) 704-1790
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
5237-A
NJ
Other
Enumeration date
06/18/2025
Last updated
06/19/2025
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