Individual
MS. JACQUELINE DIMENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, MHP
Contact information
Practice address
141 CENTER ST UNIT 171, SEWELL, NJ 08080-8008
(856) 418-8857
Mailing address
141 CENTER ST UNIT 171, SEWELL, NJ 08080-8008
(856) 418-8857
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00213200
NJ
106H00000X
Marriage & Family Therapist
MF001410
PA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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