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NPI Code Detail

MEDICARE: JESSE ZUCKER LAC

MEDICARE:   JESSE  ZUCKER  LAC
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
1101YP2500XProfessional Counselor37AC00729600NJ

General Provider Information

NPI Number : 1649086570
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSE ZUCKER LAC
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number : 732-982-2888
Fax Number :
Provider Business Practice Location Address
First Line : 26 JOURNAL SQUARE
Second Line : SUITE 505
City : JERSEY CITY
State : NJ
Zip : 07306
Country : US
Telephone Number : 201-212-6475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2024
Last Update Date : 06/15/2026

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Directions to “ JESSE ZUCKER LAC” Practice Location

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