Individual
JESSICA TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, LCADC,
Contact information
Practice address
22 WINTERBERRY RD, EGG HARBOR TOWNSHIP, NJ 08234-4900
(908) 328-5207
Mailing address
22 WINTERBERRY RD, EGG HARBOR TOWNSHIP, NJ 08234-4900
(908) 328-5207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00205400
NJ
101YP2500X
Professional Counselor
Primary
37PC00523200
NJ
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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