Individual
JENNIFER CLEARWATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2235 LAUREL DR, POINT PLEASANT BORO, NJ 08742-5130
(914) 443-9863
Mailing address
2235 LAUREL DR, POINT PLEASANT BORO, NJ 08742-5130
(914) 443-9863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00625500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14399098
CAQH
NJ
Enumeration date
01/31/2019
Last updated
01/31/2019
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