Individual
JODI BOWER-MACCIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(290) 904-0732
Mailing address
1008 NEW BRUNSWICK AVE, MANASQUAN, NJ 08736-1347
(732) 740-2811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00522500
NJ
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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