Individual provider · Type 1 NPI
Lauren Diane Jacquemin
Addiction (Substance Use Disorder) Counselor · Medford, NJ
NPI number
1295413755
Active
Practice location
103 Old Marlton Pike Ste 101
Medford, NJ 08055-8772
Mailing address
33 Greenbrook Dr
Columbus, NJ 08022-2319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00758800 (NJ) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00253300 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295413755
Lauren Diane Jacquemin's National Provider Identifier is 1295413755, issued on Jul 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, NJ. The record was last updated on Jul 6, 2023.