Provider Demographics
NPI:1871384206
Name:JENNINGS, SARAH (LAC, CCLS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:JENNINGS
Suffix:
Gender:F
Credentials:LAC, CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:478 KENBURY RD
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3780
Mailing Address - Country:US
Mailing Address - Phone:908-698-9328
Mailing Address - Fax:
Practice Address - Street 1:478 KENBURY RD
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3780
Practice Address - Country:US
Practice Address - Phone:908-698-9328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00862800101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor