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Individual
JENA JAKE
Active
Individual
JENA JAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
37AC00106600
NJ
Other
Enumeration date
01/02/2024
Last updated
03/20/2025
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