Provider Demographics
NPI:1821335258
Name:ZEIDERS, JENNA L (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:L
Last Name:ZEIDERS
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 1:259 DELSEA DR
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-9401
Mailing Address - Country:US
Mailing Address - Phone:856-881-1666
Mailing Address - Fax:856-881-3339
Practice Address - Street 1:259 DELSEA DR
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9401
Practice Address - Country:US
Practice Address - Phone:856-881-1666
Practice Address - Fax:856-881-3339
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00465600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional