Individual
JESSICA ANN TRUCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
109 HENRY ST, SOUTH AMBOY, NJ 08879-1715
(917) 485-7400
Mailing address
109 HENRY ST, SOUTH AMBOY, NJ 08879-1715
(732) 710-2951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013139
NY
Other
Enumeration date
05/05/2020
Last updated
02/10/2023
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