Healthcare Provider Details

I. General information

NPI: 1841115037
Provider Name (Legal Business Name): MRS. JENNIFER LOU-ANNA CHAPMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 MORRIS AVE STE 201
UNION NJ
07083-4841
US

IV. Provider business mailing address

89 WALNUT ST
BLOOMFIELD NJ
07003-5028
US

V. Phone/Fax

Practice location:
  • Phone: 908-991-2253
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01264700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: