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NPI Code Detail

MEDICARE: MS. JENNIFER KUGLER M. A. L.P.C.

MEDICARE: MS. JENNIFER KUGLER M. A. 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
1101YP2500XProfessional Counselor37PC00430600NJ

General Provider Information

NPI Number : 1578820148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER KUGLER M. A. L.P.C.
Provider Business Mailing Address
First Line : 39 MALAGA TER
Second Line :
City : MALAGA
State : NJ
Zip : 08328-4300
Country : US
Telephone Number : 856-863-1297
Fax Number :
Provider Business Practice Location Address
First Line : 42 DELSEA DR S
Second Line :
City : GLASSBORO
State : NJ
Zip : 08028-2621
Country : US
Telephone Number : 856-881-8689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2012
Last Update Date : 04/23/2012

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