Individual provider · Type 1 NPI
Jacqueline Ann Gebhardt-Burns, LPC
Professional Counselor · Nutley, NJ
NPI number
1366795320
Active
Practice location
Nutley Faily Service Bureau, Inc, 169 Chestnut Street
Nutley, NJ 07110
Mailing address
395 E Passaic Ave
Bloomfield, NJ 07003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00460300 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1366795320
Jacqueline Ann Gebhardt-Burns, LPC's National Provider Identifier is 1366795320, issued on Oct 16, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nutley, NJ. The record was last updated on Aug 23, 2024.