Individual
JACQUELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BETHANY RD STE 60, HAZLET, NJ 07730-1667
(908) 783-0216
Mailing address
1 BETHANY RD STE 60, HAZLET, NJ 07730-1667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00652000
NJ
Other
Enumeration date
11/08/2022
Last updated
04/30/2026
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