Individual
MRS. JESSICA C CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 RIVER RD, EDGEWATER, NJ 07020-1335
(201) 966-1095
Mailing address
1111 RIVER RD APT C34, EDGEWATER, NJ 07020-1323
(201) 966-1095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00919000
NJ
Other
Enumeration date
03/27/2023
Last updated
05/17/2024
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