Search › New Jersey › 101YA0400X
Jackie Re, LCADC
NPI 1275127946 · on the registry since 2021 · sole proprietor
Practice
- Address
- 100 Mohican Rd
Blairstown, NJ 07825 - Phone
- (908) 295-8097
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey