Individual
JENNIFER YARUSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
1140 BURNT TAVERN RD, SUITE 2C, BRICK, NJ 08724-1496
(732) 836-8112
(848) 241-3641
Mailing address
1140 BURNT TAVERN RD, SUITE 2C, BRICK, NJ 08724-1496
(732) 836-8112
(848) 241-3641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00204500
NJ
101YP2500X
Professional Counselor
Primary
37PC00479100
NJ
101YP2500X
Professional Counselor
PC009985
PA
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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