Provider Demographics
NPI:1902794654
Name:STEUBER, JESSICA NICOLE (LAC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:NICOLE
Last Name:STEUBER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:NICOLE
Other - Last Name:STEUBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:51 BOWFELL CT
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2145
Mailing Address - Country:US
Mailing Address - Phone:551-338-3334
Mailing Address - Fax:
Practice Address - Street 1:271 US HIGHWAY 46 STE C209
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2431
Practice Address - Country:US
Practice Address - Phone:732-561-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00882200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional