MEDICARE: MRS. DANIELLE LORRAINE JEAN-PIERRE L.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	37PC00347300	NJ

General Provider Information

NPI Number	:	1578769972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE LORRAINE JEAN-PIERRE L.P.C.

Provider Business Mailing Address
First Line	:	170 TOWNSHIP LINE RD
Second Line	:	BUILDING A, 2ND FLOOR
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-3867
Country	:	US
Telephone Number	:	908-359-3267
Fax Number	:	908-359-0274

Provider Business Practice Location Address
First Line	:	170 TOWNSHIP LINE RD
Second Line	:	BUILDING A, 2ND FLOOR
City	:	HILLSBOROUGH
State	:	NJ
Zip	:	08844-3867
Country	:	US
Telephone Number	:	908-359-3267
Fax Number	:	908-359-0274

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	07/08/2007

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