Provider Demographics
NPI:1588238398
Name:BAADARANI, JANINE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:BAADARANI
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611B PARK PLACE AVE
Mailing Address - Street 2:
Mailing Address - City:BRADLEY BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07720-1436
Mailing Address - Country:US
Mailing Address - Phone:908-596-1329
Mailing Address - Fax:
Practice Address - Street 1:611B PARK PLACE AVE
Practice Address - Street 2:
Practice Address - City:BRADLEY BEACH
Practice Address - State:NJ
Practice Address - Zip Code:07720-1436
Practice Address - Country:US
Practice Address - Phone:908-596-1329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00763600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health