Individual
JACLYN M BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 POCONO RD STE 107, DENVILLE, NJ 07834-2905
(862) 219-8525
Mailing address
3 PICKEREL POINT DR, HOPATCONG, NJ 07843-1618
(862) 219-8525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00841400
NJ
Other
Enumeration date
02/17/2022
Last updated
02/19/2024
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