Individual
JESSICA QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 CROSS KEYS RD, BERLIN, NJ 08009-9201
(856) 210-1511
(856) 768-0251
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
Q91744007451882
NJ
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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