Individual
MRS. JEAN CATHERINE MACCONCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
138 SYLVAN ST, RUTHERFORD, NJ 07070-2432
(201) 896-0792
(201) 804-8765
Mailing address
470 PROSPECT AVE STE 207, WEST ORANGE, NJ 07052-4106
(973) 731-6970
(973) 731-1313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00223400
NJ
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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