Provider Demographics
NPI:1952090136
Name:HUNT, JACLYN (MA, ACAS, BCCS)
Entity Type:Individual
Prefix:
First Name:JACLYN
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:MA, ACAS, BCCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-2023
Mailing Address - Country:US
Mailing Address - Phone:732-991-7939
Mailing Address - Fax:
Practice Address - Street 1:109 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-2023
Practice Address - Country:US
Practice Address - Phone:732-675-6976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No174400000XOther Service ProvidersSpecialist
No372600000XNursing Service Related ProvidersAdult Companion