MRS. JESSICA C CONNELLY
NPI 1912600925
Counselor - Professional in Edgewater, NJ
- Individual
- Female
- Counselor
- Professional
About JESSICA CONNELLY
This page provides the complete NPI Profile along with additional information for Jessica Connelly, a provider established in Edgewater, New Jersey with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1912600925 assigned on March 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 37PC00919000 (NJ). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1912600925 Verify this NPI
- Provider Name
- MRS. JESSICA C CONNELLY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1111 RIVER RD EDGEWATER, NJ 07020
- Location Phone
- (201) 966-1095
- Mailing Address
- 1111 RIVER RD APT C34 EDGEWATER, NJ 07020
- Mailing Phone
- (201) 966-1095
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-27-2023
- Last Update Date
- 05-17-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 37PC00919000
- License State
- NJ
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
EDGEWATER, NJ 07020
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912600925, enumerated as an "individual" on March 27, 2023.
The provider is located at 1111 RIVER RD EDGEWATER, NJ 07020 and the phone number is (201) 966-1095.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
