Organization · Type 2 NPI
Jenna Siciliano, Ma, Lpc, NCC LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Manasquan, NJ
NPI number
1881121192
Active
Practice location
2517 Highway 35 Ste M206
Manasquan, NJ 08736-1921
Mailing address
71 Dover Ct
Tinton Falls, NJ 07712-7767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 37PC00490400 (NJ) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1881121192
Jenna Siciliano, Ma, Lpc, NCC LLC's National Provider Identifier is 1881121192, issued on May 17, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Manasquan, NJ. The record was last updated on May 17, 2017.