Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 37PC00431300 | NJ |
N | 102L00000X | Psychologist | 020896 | NY |
N | 103T00000X | Psychologist | 020896 | NY |
Y | 102L00000X | Psychologist | 5427 | NJ |
Y | 103T00000X | Psychologist | 5427 | NJ |
N | 103TS0200X | School Psychologist | 861724 | NJ |
NPI | 1083006621 |
---|---|
Provider Name | Dr. Jennifer Rochelle Jones |
First Address | Warren, NJ 07059-5120 |
Second Address | Warren, NJ 07059-5120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2015 |
Last Update Date | 18/02/2015 |