Individual
MS. JESSICA KNOLL O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CASAC
Contact information
Practice address
45 RIVER ROAD, SUITE 4, SUMMIT, NJ 07901
(973) 370-0161
Mailing address
12 DALE DRIVE, SUMMIT, NJ 07901
(617) 312-8872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23901
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
CASAC-23901
NY
1041C0700X
Clinical Social Worker
Primary
079377
NY
1041C0700X
Clinical Social Worker
079377-1
NY
1041C0700X
Clinical Social Worker
44SC5811000
NJ
Other
Enumeration date
08/14/2008
Last updated
10/02/2025
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