Individual provider · Type 1 NPI
Jacqueline Persico, EDS, LAC
Counselor · Somerville, NJ
NPI number
1447812656
Active
Practice location
1 W Cliff St Fl 1
Somerville, NJ 08876-1901
Mailing address
14 Prescott Ct
Basking Ridge, NJ 07920-2983
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 37AC00467800 (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.
Another provider at this address
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About NPI 1447812656
Jacqueline Persico, EDS, LAC's National Provider Identifier is 1447812656, issued on Jul 8, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Somerville, NJ. The record was last updated on Jul 8, 2019.