Individual
SARAH JASAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
1540 ROUTE 138 BLDG 2, SUITE 202, WALL, NJ 07719-3763
(732) 788-1247
Mailing address
5 MILLBROOK DR, MIDDLETOWN, NJ 07748-2214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00232100
NJ
Other
Enumeration date
03/22/2016
Last updated
12/02/2016
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