Provider Demographics
NPI:1407375892
Name:RINALDI, JENNA (LPC)
Entity Type:Individual
Prefix:MS
First Name:JENNA
Middle Name:
Last Name:RINALDI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 GETTYSBURG LN
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2789
Mailing Address - Country:US
Mailing Address - Phone:732-580-1629
Mailing Address - Fax:
Practice Address - Street 1:157 BROAD ST STE 301
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2013
Practice Address - Country:US
Practice Address - Phone:732-580-1929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-17
Last Update Date:2017-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00510900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional