Individual
MRS. JENNIFER AGNES GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
11 CHAIRVILLE RD, MEDFORD, NJ 08055-9619
(609) 388-8919
Mailing address
11 CHAIRVILLE RD, MEDFORD, NJ 08055-9619
(609) 388-8919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00403000
NJ
101YM0800X
Mental Health Counselor
PC013288
PA
Other
Enumeration date
02/15/2018
Last updated
05/03/2022
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