Individual
JENNIFER ROAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 CHESTNUT ST, LUMBERTON, NJ 08048-1134
(609) 518-5470
Mailing address
79 CHESTNUT ST, LUMBERTON, NJ 08048-1134
(609) 518-5470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00643700
NJ
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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