Individual
JESSICA MARIE VICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
778 BROADWAY, BAYONNE, NJ 07002-3949
(201) 344-4255
Mailing address
778 BROADWAY, BAYONNE, NJ 07002-3949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00168700
NJ
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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