Individual
JESSICA NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 GREGORY AVE, PASSAIC, NJ 07055-4856
(973) 928-7244
Mailing address
1037 BURNET AVE, UNION, NJ 07083-5610
(973) 303-0258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
09/15/2025
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