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Individual

JENNY TRACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
121A REICH AVE, MAHWAH, NJ 07430-1120
(347) 217-2586
Mailing address
121A REICH AVE, MAHWAH, NJ 07430-1120

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
008848
NY
101YM0800X
Mental Health Counselor
Primary
37PC00762000
NJ
101YM0800X
Mental Health Counselor
PC018099
PA
101YM0800X
Mental Health Counselor

Other

Enumeration date
11/16/2016
Last updated
09/09/2025
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