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Individual

JESSICA GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
852 KINDERKAMACK RD, RIVER EDGE, NJ 07661-2324
(201) 885-3522
Mailing address
9 STUART LN, WAYNE, NJ 07470-3339
(201) 647-0371

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00555200
NJ

Other

Enumeration date
09/08/2016
Last updated
12/07/2021
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