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NPI Code Detail

MEDICARE: JILLIAN ADAMS

MEDICARE: JILLIAN ADAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1568276319
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILLIAN ADAMS
Provider Business Mailing Address
First Line : 25 COMMERCE DR STE 210
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-3621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25 COMMERCE DR STE 210
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-3621
Country : US
Telephone Number : 908-905-3444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2025
Last Update Date : 02/03/2025

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Directions to “ JILLIAN ADAMS ” Practice Location

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