Individual
JANINE HEINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W MAIN ST, BOONTON, NJ 07005
(201) 214-5725
Mailing address
PO BOX 528, CHESTER, NJ 07930-0528
(201) 214-5725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00518800
NJ
101YP2500X
Professional Counselor
37PC00518800
NJ
Other
Enumeration date
06/07/2016
Last updated
06/13/2018
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