Individual
MS. JODY STOOTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LCADC CCS ACS
Contact information
Practice address
54 GLENN TER, VINELAND, NJ 08360-4926
(856) 305-5699
Mailing address
54 GLENN TER, VINELAND, NJ 08360-4926
(856) 305-5699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00285500
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00630800
NJ
101YP2500X
Professional Counselor
37PC00630800
NJ
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/28/2022
Last updated
03/05/2026
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