Individual
MS. JACLYN ELIZABETH DANTINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
18 GROVE ST, HADDONFIELD, NJ 08033-1227
(856) 499-2013
Mailing address
152 DESCHLER BLVD, CLAYTON, NJ 08312-2406
(856) 889-0770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00737200
NJ
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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