Provider Demographics
NPI:1316733793
Name:LAGRIPPO, JILIAN DEANDRA (LPC)
Entity type:Individual
Prefix:
First Name:JILIAN
Middle Name:DEANDRA
Last Name:LAGRIPPO
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ACORN PL
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1401
Mailing Address - Country:US
Mailing Address - Phone:848-459-7764
Mailing Address - Fax:
Practice Address - Street 1:33 ACORN PL
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1401
Practice Address - Country:US
Practice Address - Phone:848-459-7764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01071400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional