Individual
JADAYSIA DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22 VILLAGE CT, HAZLET, NJ 07730-1532
(732) 639-0232
Mailing address
14 VICTORIA DR, EATONTOWN, NJ 07724-1234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
44SL06280900
NJ
1041C0700X
Clinical Social Worker
Primary
44SL06280900
NJ
Other
Enumeration date
09/25/2017
Last updated
08/09/2021
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