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Individual

MRS. JESSICA M LARGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., ED.S LPC

Contact information

Practice address
10 LLOYD AVE, STANHOPE, NJ 07874-2925
(973) 814-4128
Mailing address
10 LLOYD AVE, STANHOPE, NJ 07874-2925
(973) 713-3034
(973) 512-3700

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00410400
NJ
101YP2500X
Professional Counselor
Primary
37PC00410400
NJ

Other

Enumeration date
12/17/2007
Last updated
09/11/2025
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