Individual
JENNIFER MECOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
5261 MARLTON PIKE, PENNSAUKEN, NJ 08109-4701
(856) 254-2329
Mailing address
13 SPRINGLANE DR, BLACKWOOD, NJ 08012-4505
(856) 236-8623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00169500
NJ
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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