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Organization

THE COUNSELING AND MINDFULNESS GROUP

Active
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Organization

THE COUNSELING AND MINDFULNESS GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JACQUELINE ANN FERNANDEZ MA, LPC, LCADC (PARTNER)
(908) 303-3850
Entity
Organization

Contact information

Practice address
121 SHELLEY DR, SUITE 2E, HACKETTSTOWN, NJ 07840-2530
(908) 303-3850
(908) 979-1600
Mailing address
121 SHELLEY DR, SUITE 2E, HACKETTSTOWN, NJ 07840-2530
(908) 303-3850
(908) 979-1600

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00179200
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00496100
NJ

Other

Enumeration date
11/18/2015
Last updated
11/18/2015
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