Individual
JESSICA LYNN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 CENTURY DR STE 100, PARSIPPANY, NJ 07054-4606
(732) 982-2888
Mailing address
4 CENTURY DR STE 100, PARSIPPANY, NJ 07054-4606
(732) 982-2888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00736700
NJ
Other
Enumeration date
04/30/2024
Last updated
05/08/2024
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