Individual
MR. JASON DIVINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 CENTURY DR STE 100, PARSIPPANY, NJ 07054-4606
(732) 982-2888
Mailing address
4 CENTURY DR, PARSIPPANY, NJ 07054-4606
(865) 383-3255
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00751000
NJ
Other
Enumeration date
10/31/2023
Last updated
02/29/2024
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