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General NPI Number Information
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NPI Number | 1356826184
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Entity Type | Organization
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Legal Business Name | JENNIFER HOLAK LLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 913 ROUTE 23 STE 6
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1059
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Country | US
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Telephone | 973-520-7560
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Fax |
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Provider Business Mailing Address
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Address Line | 130 NEW ROAD APT N8
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City | PARSIPPANY
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State | NJ
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Zip | 07054-4262
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Country | US
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Telephone | 973-520-7560
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER HOLAK
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Credential | LPC
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Telephone | 973-520-7560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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