Individual
JENNIFER BASILONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
623 LAFAYETTE AVE STE 201F, HAWTHORNE, NJ 07506-2439
(201) 690-1764
(973) 891-0763
Mailing address
623 LAFAYETTE AVE STE 201-F, HAWTHORNE, NJ 07506-2439
(201) 690-1764
(971) 891-0763
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00467600
NJ
Other
Enumeration date
01/17/2014
Last updated
08/20/2025
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