Provider Demographics
NPI:1689837213
Name:SMEDLEY, JESSICA ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELIZABETH
Last Name:SMEDLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:SMEDLEY
Other - Last Name:COTIGNOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDS, LPC
Mailing Address - Street 1:10 HARWICK DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3011
Mailing Address - Country:US
Mailing Address - Phone:609-468-5474
Mailing Address - Fax:
Practice Address - Street 1:88 ORCHARD RD STE 1B
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2642
Practice Address - Country:US
Practice Address - Phone:609-468-3594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00372800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional