Individual
BETTY JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
673 MORRIS AVE, SPRINGFIELD, NJ 07081-1512
(973) 477-0933
Mailing address
467 VALLEY ST APT 4D, MAPLEWOOD, NJ 07040-1345
(973) 477-0933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00440800
NJ
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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