Jessica Miserentino, M.ED., LAC

NPI #1104367556 in Budd Lake, New Jersey

Provider Information

NPI Number: 1104367556
Entity Type: Individual
Name: Jessica Miserentino, M.ED., LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: M.ED., LAC
Enumeration Date: Mar 18, 2017
Last Updated: Mar 18, 2017

Practice Location

Address: 130 SAND SHORE RD
City: Budd Lake
State: New Jersey
ZIP Code: 07828-1506
Phone: (862) 432-9047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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