Individual
JENNIFER LYNN DOUGLAS-KRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCADC
Contact information
Practice address
50 MORRIS AVE, DENVILLE, NJ 07834-1735
(973) 625-7130
Mailing address
50 MORRIS AVE, DENVILLE, NJ 07834-1735
(973) 625-7130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00096800
NJ
101YP2500X
Professional Counselor
Primary
37PC00049100
NJ
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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