Individual
MS. JAYNE N. LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
35 BEAVERSON BLVD STE 1D, BRICK, NJ 08723
(732) 920-7933
(732) 920-2966
Mailing address
35 BEAVERSON BLVD., BLDG 1D, BRICK, NJ 08723
(732) 920-7933
(732) 920-2966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/06/2009
Last updated
07/25/2018
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