Individual
MS. JENNY MARA BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
340 ROUTE 9, BAYVILLE, NJ 08721-1255
(848) 224-4897
Mailing address
340 ROUTE 9, BAYVILLE, NJ 08721-1255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00275700
NJ
101YP2500X
Professional Counselor
Primary
37PC00602500
NJ
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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