Organization
JENNA SICILIANO, MA, LPC, NCC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA SICILIANO LPC (COUNSELOR/OWNER)
(908) 309-4511
Entity
Organization
Contact information
Practice address
2517 HIGHWAY 35 STE M206, MANASQUAN, NJ 08736-1921
(732) 508-0535
Mailing address
71 DOVER CT, TINTON FALLS, NJ 07712-7767
19083094511
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37PC00490400
NJ
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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