Individual
MRS. JEANETTE CAROL VELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
108 ALDEN ST, CRANFORD, NJ 07016-2131
(908) 497-3982
Mailing address
10 MAIDA RD, EDISON, NJ 08820-2530
(732) 516-0516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00318500
NJ
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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