Provider Demographics
NPI:1255985685
Name:FENNELL-POWELL COUNSELING
Entity type:Organization
Organization Name:FENNELL-POWELL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACINTA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FENNELL- POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-951-8541
Mailing Address - Street 1:704 SPOONER AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-2206
Mailing Address - Country:US
Mailing Address - Phone:862-588-5909
Mailing Address - Fax:973-629-5740
Practice Address - Street 1:50 UNION AVE STE 804B
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-5221
Practice Address - Country:US
Practice Address - Phone:973-951-8541
Practice Address - Fax:973-629-5740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)