Individual
JENNIFER MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 IRVING AVE, CAPC, BRIDGETON, NJ 08302-2123
(856) 575-4516
Mailing address
333 IRVING AVE, CAPC, BRIDGETON, NJ 08302-2123
(856) 575-4516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00468500
NJ
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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