Jenna Siciliano, Ma, Lpc, Ncc Llc | |
2517 Highway 35 Ste M206 Manasquan NJ 08736-1921 | |
(732) 508-0535 | |
Not Available |
Full Name | Jenna Siciliano, Ma, Lpc, Ncc Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2517 Highway 35 Ste M206, Manasquan, New Jersey |
Authorized Official Name and Position | Jenna Siciliano (COUNSELOR/OWNER) |
Authorized Official Contact | 9083094511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jenna Siciliano, Ma, Lpc, Ncc Llc 71 Dover Ct Tinton Falls NJ 07712-7767 Ph: (190) 830-94511 | Jenna Siciliano, Ma, Lpc, Ncc Llc 2517 Highway 35 Ste M206 Manasquan NJ 08736-1921 Ph: (732) 508-0535 |
NPI Number | 1881121192 |
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Provider Enumeration Date | 05/17/2017 |
Last Update Date | 05/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881121192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 37PC00490400 (New Jersey) | Primary |
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