Individual
MRS. JACQUELINE MARIE PIDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR- BC, ATCS
Contact information
Practice address
442 HAMILTON ST APT D, SOMERSET, NJ 08873-5534
(732) 630-5322
Mailing address
442 HAMILTON ST APT D, SOMERSET, NJ 08873-5534
(732) 630-5322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00618000
NJ
221700000X
Art Therapist
15-333
NJ
Other
Enumeration date
07/15/2019
Last updated
02/22/2025
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