Individual
JACLYN KOECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10 RAY ST, PARSIPPANY, NJ 07054-2335
(973) 919-7439
Mailing address
10 RAY ST, PARSIPPANY, NJ 07054-2335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00650900
NJ
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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