Individual
MS. JACQUELINE C PORTER-STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC, LCSW, SAP,
Contact information
Practice address
20 NASSAU ST, SUITE 204, PRINCETON, NJ 08542-4509
(609) 454-3080
(609) 454-3078
Mailing address
SUPPLANTER COUNSELING & MEDIATION, LLC, 1330 PARKWAY AVENUE, STE. 12, EWING, NJ 08628-4509
(609) 454-3080
(609) 454-3078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00133600
NJ
1041C0700X
Clinical Social Worker
44SC05534200
NJ
Other
Enumeration date
06/28/2008
Last updated
04/30/2020
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