Individual
JELLYLU PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 REHILL AVE, SOMERSET MEDICAL CENTER - EMERGENCY ROOM, SOMERVILLE, NJ 08876-2519
(908) 231-6475
Mailing address
PO BOX 3000, SOMERSET COUNTY HUMAN SERVICES PESS, SOMERVILLE, NJ 08876-1262
(908) 231-6475
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37PC00315500
NJ
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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