Provider Demographics
NPI:1881437929
Name:COMMANDER, JENA-ROSE (MA, NCC, LAC)
Entity type:Individual
Prefix:MRS
First Name:JENA-ROSE
Middle Name:
Last Name:COMMANDER
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 1:600 MARSHALL MILL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-2018
Mailing Address - Country:US
Mailing Address - Phone:856-244-8505
Mailing Address - Fax:
Practice Address - Street 1:600 MARSHALL MILL RD
Practice Address - Street 2:
Practice Address - City:FRANKLINVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08322-2018
Practice Address - Country:US
Practice Address - Phone:856-244-8505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00700500101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor