Provider Demographics
NPI:1497191837
Name:GUARNIERI, JEANNE (LRC)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:GUARNIERI
Suffix:
Gender:F
Credentials:LRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08835-1803
Mailing Address - Country:US
Mailing Address - Phone:908-725-8544
Mailing Address - Fax:908-704-0850
Practice Address - Street 1:141 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08835-1803
Practice Address - Country:US
Practice Address - Phone:908-725-8544
Practice Address - Fax:908-704-0850
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37RC00102400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional