Individual
JESSICA HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
395 GRAND ST, JERSEY CITY, NJ 07302-4238
(201) 915-2407
Mailing address
395 GRAND ST, JERSEY CITY, NJ 07302-4238
(201) 915-2407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00405200
NJ
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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