Individual
JESSICA COMERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 W BAY AVE, BARNEGAT, NJ 08005
(609) 660-0197
Mailing address
848 W BAY AVE, BARNEGAT, NJ 08005-2126
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
09/08/2022
Last updated
09/08/2022
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