Individual
MS. JENNIFER PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
349 FRANKLIN AVE, NUTLEY, NJ 07110-4004
(914) 489-1133
Mailing address
349 FRANKLIN AVE, NUTLEY, NJ 07110-4004
(914) 489-1133
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00425900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC00425900
STATE OF NEW JERSEY LICESE NUMBER
NJ
Enumeration date
06/06/2011
Last updated
06/24/2014
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