Individual
JEAN MILIDES HENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 367-4700
(732) 364-2253
Mailing address
700 AIRPORT RD, P.O. BOX 2036, LAKEWOOD, NJ 08701-5907
(732) 367-4700
(732) 364-2253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
37FI00152500
NJ
Other
Enumeration date
10/06/2006
Last updated
07/17/2024
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