Individual
MRS. JENNFER MARIE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC INTERN, CPRS
Contact information
Practice address
1 CORBETT WAY, EATONTOWN, NJ 07724-4247
(732) 380-7061
Mailing address
104 W END AVE, NEPTUNE, NJ 07753-3747
(732) 984-0213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2019-000090
NJ
101YM0800X
Mental Health Counselor
2019-000090
NJ
Other
Enumeration date
10/13/2020
Last updated
10/15/2020
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