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Individual

JENNIFER SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, NCC, LPC

Contact information

Practice address
79 OAK HILL RD, RED BANK, NJ 07701-5783
(732) 936-0606
(732) 936-0606
Mailing address
79 OAK HILL RD, RED BANK, NJ 07701-5783
(732) 936-0606
(732) 936-0606

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00034800
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00034800
NJ

Other

Enumeration date
01/24/2007
Last updated
03/27/2012
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