Individual
MR. JAKE TYLER SMOLINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-0180
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-0180
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
37AC00400400
NJ
Other
Enumeration date
04/18/2019
Last updated
04/19/2019
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