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Individual

JESSICA BYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
77 ORANGE RD APT 18, MONTCLAIR, NJ 07042-2153
(859) 393-1118
Mailing address
77 ORANGE RD APT 18, MONTCLAIR, NJ 07042-2153
(859) 393-1118

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00676000
NJ
101YP2500X
Professional Counselor
175280
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
610661458
TAX ID
KY
Enumeration date
04/20/2016
Last updated
11/11/2020
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