Individual
JENNA MARIE VANWEELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
21 OLD MAIN ST STE 207, FISHKILL, NY 12524-1883
(917) 300-1332
Mailing address
66 ROUNDTREE CT, BEACON, NY 12508-2128
(513) 262-0808
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
NY
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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