Individual
DR. JEREMY R ZANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY, D.
Contact information
Practice address
39 S MAIN ST, MULLICA HILL, NJ 08062-9402
(856) 230-2919
Mailing address
39 S MAIN ST, MULLICA HILL, NJ 08062-9402
(609) 202-3184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC005866
PA
101YM0800X
Mental Health Counselor
PC005866
PA
101YP2500X
Professional Counselor
PC005866
PA
103T00000X
Psychologist
Primary
35SI0058560
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000039278
—
DE
Enumeration date
01/25/2007
Last updated
03/21/2018
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