| Doctor Name: | MS. JANE I. STIUV-BAUMBACH |
| NPI Number: | 1326444506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC |
| License Number: | LAC37AC00202300 |
| Business Practice Address: | 795 Woodlane Rd, Suite 301 Mt. Holly, NJ - 08060 |
| Business Phone Number: | 6092671377 |
| Business Fax Number: | 6092659268 |
| Mailing Address: | 795 Woodlane Rd, Suite 301, MT. HOLLY |
| State: | NJ |
| Postal Code: | 08060 |
| Phone Number: | 6092671377 |
| Fax Number: | 6092659268 |
| NPI Enumeration Date: | 11/14/2014 |
| NPI Last Update Date: | 11/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LAC37AC00202300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |