Individual
JETTA STARKWEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(609) 782-0005
Mailing address
556 SAINT LOUIS AVE, EGG HARBOR CITY, NJ 08215-2225
(304) 830-7066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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