Individual provider · Type 1 NPI
Jessica Miserentino, M.ED., LAC
Counselor · Budd Lake, NJ
NPI number
1104367556
Active
Practice location
130 Sand Shore Rd
Budd Lake, NJ 07828-1506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 37AC00336000 (NJ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1104367556
Jessica Miserentino, M.ED., LAC's National Provider Identifier is 1104367556, issued on Mar 18, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Budd Lake, NJ. The record was last updated on Mar 18, 2017.