Provider Demographics
NPI:1528194362
Name:JEANLOUIS, JENNY
Entity Type:Individual
Prefix:MISS
First Name:JENNY
Middle Name:
Last Name:JEANLOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:JEANLOUIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-2101
Mailing Address - Country:US
Mailing Address - Phone:609-394-2056
Mailing Address - Fax:609-394-8301
Practice Address - Street 1:1 CENTRE ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-2101
Practice Address - Country:US
Practice Address - Phone:609-394-2956
Practice Address - Fax:609-394-8301
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor