Provider Demographics
NPI:1871866145
Name:SWIFT, JENNIFER MARY (MED, NCC, LPC,BCPC,)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARY
Last Name:SWIFT
Suffix:
Gender:F
Credentials:MED, NCC, LPC,BCPC,
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:MARY
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED,NCC,LPC,BCPC
Mailing Address - Street 1:603B BIRCHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4011
Mailing Address - Country:US
Mailing Address - Phone:856-912-8715
Mailing Address - Fax:
Practice Address - Street 1:603B BIRCHFIELD DR
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-4011
Practice Address - Country:US
Practice Address - Phone:856-912-8715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00420900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional