Search › New Jersey › 104100000X
Jayne Licata, LCSW, LCADC
NPI 1588991988 · on the registry since 2009
Practice
- Address
- 35 Beaverson Blvd Ste 1d
Brick, NJ 08723 - Phone
- (732) 920-7933
- Fax
- (732) 920-2966
- Organisation at this address
- Life Excel, Llc
Life Excel, Llc
Life Excel, Llc
John E Bell Dds
Meyer & Bopp DpmInferred from a shared address, not stated in the registry. - Clinicians at this address
- 81
Additional practice sites
- 166 Main St, Matawan, NJ
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Sex
- Female
- Record last updated
- 2018-07-25
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