Individual
JORDYN L MASTRODOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LCADC
Contact information
Practice address
19 SPEAR RD STE 303, RAMSEY, NJ 07446-1223
(551) 427-6540
Mailing address
830 MORRIS TPKE, SHORT HILLS, NJ 07078-2625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37AC00488900
NJ
Other
Enumeration date
03/06/2022
Last updated
07/02/2025
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