Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica M Creighton Bodre

Individual provider Mental Health Counselor · NPI 1780576637

Jessica M Creighton Bodre is a Mental Health Counselor in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2025.

Licensed in
NJ
In the registry since
2025

Practice location Address checks out

120 Chestnut St
Ridgewood, NJ 07450-2504
Phone: (973) 897-6934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37AC00842000 (NJ)

Record details

NPI number1780576637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025

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