Individual
JENNIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 GODWIN AVE STE 300, MIDLAND PARK, NJ 07432-1463
(551) 319-2029
Mailing address
9 LAUREL DR, STOCKHOLM, NJ 07460-1420
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00794000
NJ
Other
Enumeration date
06/01/2024
Last updated
06/01/2024
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