Individual
JACQUELYN THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1405 NJ-18, SUITE 106, OLD BRIDGE, NJ 08857
(856) 542-8547
Mailing address
1405 NJ-18, SUITE 106, OLD BRIDGE, NJ 08857
(856) 542-8547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00672500
NJ
Other
Enumeration date
02/23/2023
Last updated
02/24/2026
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