Individual
JILLIAN LANSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC, NCCC
Contact information
Practice address
6 PROSPECT ST STE 3B, MIDLAND PARK, NJ 07432-1634
(201) 701-0545
Mailing address
8 BURNHAM PL, FAIR LAWN, NJ 07410-3623
(201) 247-0242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00997400
NJ
Other
Enumeration date
07/20/2020
Last updated
07/18/2025
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