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Individual

JEMMA KALISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC, NCC

Contact information

Practice address
819 ALEXANDER RD, PRINCETON, NJ 08540-6303
(609) 452-2088
Mailing address
28 BUNKER HILL RUN, EAST BRUNSWICK, NJ 08816-3317

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00386900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127070423201
NJ
Enumeration date
11/10/2017
Last updated
11/10/2017
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