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Individual

ALYSSA NICOLE JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LCADC

Contact information

Practice address
616 WASHINGTON ST STE 2A, TOMS RIVER, NJ 08753-6789
(732) 497-8895
Mailing address
2 MEHA CT, MANALAPAN, NJ 07726-5126
(732) 547-1229

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00323100
NJ
101YP2500X
Professional Counselor
Primary
37PC00712200
NJ

Other

Enumeration date
02/05/2020
Last updated
12/08/2020
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