Individual
JO MYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
3 CORBETT WAY, EATONTOWN, NJ 07724-2283
(732) 210-0509
(732) 542-1948
Mailing address
3 CORBETT WAY, EATONTOWN, NJ 07724-2283
(732) 210-0509
(732) 542-1948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00286700
NJ
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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