Individual
MS. JENNIFER LYNN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
371 HOES LN STE 106, PISCATAWAY, NJ 08854-4143
(732) 982-2888
Mailing address
1249 EVERGREEN DR, BRIDGEWATER, NJ 08807-1227
(908) 642-0814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00300500
NJ
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00866500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023701
AGENCY PROVIDER #
NJ
01
—
7794703
AGENCY PROGRAM PROVIDER #
NJ
Enumeration date
09/10/2012
Last updated
11/14/2022
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