Provider Demographics
NPI:1184905150
Name:GEUTHER, JENNIFER E (LPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:GEUTHER
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 1:1240 SUSSEX TURNPIKE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2944
Mailing Address - Country:US
Mailing Address - Phone:908-887-0376
Mailing Address - Fax:
Practice Address - Street 1:1240 SUSSEX TPKE
Practice Address - Street 2:SUITE 4
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2944
Practice Address - Country:US
Practice Address - Phone:908-887-0376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00430100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional