Individual
JESSICA BROCK-PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 COOPER LANDING RD, CHERRY HILL, NJ 08002-2504
(856) 482-8747
Mailing address
19 E ORMOND AVE, CHERRY HILL, NJ 08034-2053
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL05670900
NJ
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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