Provider Demographics
NPI:1053853440
Name:JKOR, LLC
Entity Type:Organization
Organization Name:JKOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:S
Authorized Official - Last Name:KRENCICKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:609-865-2670
Mailing Address - Street 1:165 THIRD ST
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-1800
Mailing Address - Country:US
Mailing Address - Phone:609-865-2670
Mailing Address - Fax:
Practice Address - Street 1:165 THIRD ST
Practice Address - Street 2:SUITE 4B
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-1800
Practice Address - Country:US
Practice Address - Phone:609-865-2670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00283600101Y00000X
NJ37AC00324600101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty