Individual
MS. MEGAN MARIONETTA JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
70 LUKE ST, SOUTH AMBOY, NJ 08879-2235
(732) 525-5379
Mailing address
70 LUKE ST, SOUTH AMBOY, NJ 08879-2235
(732) 525-5379
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
176263-1
NY
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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