Provider Demographics
NPI:1053504928
Name:JENKINS, JANET (MA)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 CAHILL CROSS RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-1988
Mailing Address - Country:US
Mailing Address - Phone:973-728-5111
Mailing Address - Fax:
Practice Address - Street 1:179 CAHILL CROSS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-1988
Practice Address - Country:US
Practice Address - Phone:973-728-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health