Jessica L Dickenman, CPRS

NPI #1114773009 in West Long Branch, New Jersey

Provider Information

NPI Number: 1114773009
Entity Type: Individual
Name: Jessica L Dickenman, CPRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CPRS
Enumeration Date: Apr 30, 2024
Last Updated: Apr 30, 2024

Practice Location

Address: 185 ROUTE 36 BLDG E
City: West Long Branch
State: New Jersey
ZIP Code: 07764-1341
Phone: (732) 571-2190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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