Individual
JODIE LYNNE GARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6 DUMONT PL, FIRST FLOOR, MORRISTOWN, NJ 07960-8104
(908) 930-8988
Mailing address
602 1ST AVE, ALPHA, NJ 08865-4507
(908) 930-8988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY MEDICAID PROVIDER #
NJ
01
—
527486
AGENCY MEDICARE PROVIDER #
NJ
01
—
7794703
AGENCY PROGRAM PROVIDER MEDCAID #
NJ
Enumeration date
10/28/2010
Last updated
11/06/2015
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