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Individual

DR. CHRISTOPHER TYRONE JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
200 FEDERAL ST, SUITE 227, CAMDEN, NJ 08103-1061
(866) 984-2665
(866) 634-2131
Mailing address
200 FEDERAL ST, SUITE 227, CAMDEN, NJ 08103-1061
(866) 984-2665
(866) 634-2131

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
F23822
DE
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
103TH0004X
Health Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
02/18/2009
Last updated
02/18/2009
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