Provider Demographics
NPI:1831902857
Name:D'ANGELO, JENNA (MA, NCC, LAC)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:D'ANGELO
Suffix:
Gender:F
Credentials:MA, NCC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 MAIN ST APT A
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2490
Mailing Address - Country:US
Mailing Address - Phone:201-273-8098
Mailing Address - Fax:
Practice Address - Street 1:339 MAIN ST APT A
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2490
Practice Address - Country:US
Practice Address - Phone:609-619-7729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00851900101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor