Individual provider · Type 1 NPI

Jessica Ebegbulem, LAC

Counselor · Newark, NJ

NPI number 1457707994 Active

Practice location

183 S Orange Ave
Newark, NJ 07103-2757

Call (732) 235-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00103900 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1457707994

Jessica Ebegbulem, LAC's National Provider Identifier is 1457707994, issued on May 13, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Newark, NJ. The record was last updated on May 13, 2016.