Healthcare Provider Details

I. General information

NPI: 1366259905
Provider Name (Legal Business Name): JESSICA NOKES LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6712 WASHINGTON AVE
EGG HARBOR TOWNSHIP NJ
08234-1999
US

IV. Provider business mailing address

233 DONNA DR
EGG HARBOR CITY NJ
08215-3851
US

V. Phone/Fax

Practice location:
  • Phone: 609-889-8100
  • Fax:
Mailing address:
  • Phone: 551-265-4479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01223600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: