Individual provider · Type 1 NPI

Kelly Marie Jenner

Professional Counselor · New Providence, NJ

NPI number 1669634697 Active

Practice location

139 South St, Suite 201
New Providence, NJ 07974-1999

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00486500 (NJ)

Professional Counselor: Definition to come...

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About NPI 1669634697

Kelly Marie Jenner's National Provider Identifier is 1669634697, issued on Jul 1, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Providence, NJ. The record was last updated on Jan 21, 2014.