Individual
JACLYN CIAMPOLILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 AIRPORT RD, LAKEWOOD, NJ 08701-5968
(732) 276-1510
Mailing address
1100 ROUTE 35 SOUTH, POINT PLEASANT BEACH, NJ 08742
(848) 333-5974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00367400
NJ
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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