Individual
JENNY C BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1093
(609) 350-5007
Mailing address
305 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1093
(609) 350-5007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00307900
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00690100
NJ
Other
Enumeration date
04/16/2016
Last updated
11/16/2020
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