Individual provider · Type 1 NPI
Jessica C. Connelly
Professional Counselor · Edgewater, NJ
NPI number
1912600925
Active
Practice location
1111 River Rd
Edgewater, NJ 07020-1335
Mailing address
1111 River Rd Apt C34
Edgewater, NJ 07020-1323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00919000 (NJ) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Edgewater
About NPI 1912600925
Jessica C. Connelly's National Provider Identifier is 1912600925, issued on Mar 27, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edgewater, NJ. The record was last updated on May 17, 2024.