# GENESCREEN COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932551017
- **Authorized official:** JILL CHISHOLM APN (CEO)
- **Authorized official phone:** (908) 766-2800

## Contact information

- **Practice address:** 75 CLAREMONT RD, \#206, BERNARDSVILLE, NJ 07924-2262
- **Practice address phone:** (908) 766-2800
- **Mailing address:** 75 CLAREMONT RD, \#206, BERNARDSVILLE, NJ 07924-2262
- **Mailing address phone:** (908) 766-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 26NN11307300 | NJ | Yes |

## Other

- **Enumeration date:** 07/12/2016
- **Last updated:** 07/12/2016