Individual
JENNIFER NICOLE MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MAIN AVE, PASSAIC, NJ 07055-4427
(973) 777-7638
(973) 777-9311
Mailing address
1150 LATIMER MILL RD, HONEA PATH, SC 29654-9280
(316) 250-9993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00870500
NJ
Other
Enumeration date
10/27/2017
Last updated
01/18/2023
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