| Jillian L. Holguin, Lcsw | |
|
36 Society Hill Way Tinton Falls NJ 07724-3800 | |
| (201) 546-0909 | |
| (862) 701-2683 |
| Full Name | Jillian L. Holguin, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 36 Society Hill Way, Tinton Falls, New Jersey |
| Authorized Official Name and Position | Jillian L Holguin (OWNER) |
| Authorized Official Contact | 2015460909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian L. Holguin, Lcsw 36 Society Hill Way Tinton Falls NJ 07724-3800 Ph: (201) 546-0909 | Jillian L. Holguin, Lcsw 36 Society Hill Way Tinton Falls NJ 07724-3800 Ph: (201) 546-0909 |
| NPI Number | 1265932404 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265932404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05707200 (New Jersey) | Primary |
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