Individual
MISS JESSICA CATHERINE COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
20 WILSEY SQ, RIDGEWOOD, NJ 07450-3793
(551) 427-2458
Mailing address
6 ERIE PLZ APT A, RAMSEY, NJ 07446-1806
(732) 770-3406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00465500
NJ
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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