JACLYN RACANIELLO
NPI 1124696844
Counselor - Addiction (Substance Use Disorder) in Freehold, NJ
Active since June 17, 2021
About Jaclyn Racaniello NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN RACANIELLO (NPI 1124696844) is an individual addiction (substance use disorder) provider in Freehold, New Jersey and active in the NPI registry since June 2021.
NPPES Registry Identity
NPI1124696844
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACLYN RACANIELLO
Location Address2 MONMOUTH AVE STE 2Freehold, NJ 07728-1971
Mailing Address2 Monmouth Ave Ste 2Freehold, NJ 07728-1971
Phone(732) 308-0113
Sole ProprietorNo
Enumeration DateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1124696844 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2 MONMOUTH AVE STE 2, Freehold, NJ 07728
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
2 MONMOUTH AVE STE 2
FREEHOLD, NJ 07728
FREEHOLD, NJ 07728
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124696844, enumerated as an "individual" on June 17, 2021.
The provider is located at 2 MONMOUTH AVE STE 2 FREEHOLD, NJ 07728 and the phone number is (732) 308-0113.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
