Provider Demographics
NPI:1265223697
Name:THURBER, JAMIE (LCADC LSW)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:THURBER
Suffix:
Gender:F
Credentials:LCADC LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PREAMBLE DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-5354
Mailing Address - Country:US
Mailing Address - Phone:856-500-4535
Mailing Address - Fax:
Practice Address - Street 1:110 PREAMBLE DR
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-5354
Practice Address - Country:US
Practice Address - Phone:856-500-4535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00402400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty