| Jaclyn Disabato, Lpc Llc | |
|
1540 Route 138 Ste 201 Wall NJ 07719-3765 | |
| (732) 876-3510 | |
| Not Available |
| Full Name | Jaclyn Disabato, Lpc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1540 Route 138 Ste 201, Wall, New Jersey |
| Authorized Official Name and Position | Jaclyn Disabato (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7328763510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Disabato, Lpc Llc 25 S Manor Ct Wall Township NJ 07719-3649 Ph: (973) 476-3510 | Jaclyn Disabato, Lpc Llc 1540 Route 138 Ste 201 Wall NJ 07719-3765 Ph: (732) 876-3510 |
| NPI Number | 1215605977 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215605977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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