Provider Demographics
NPI:1063260883
Name:JD COUNSELING LLC
Entity type:Organization
Organization Name:JD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNZELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC, ACS, CCS
Authorized Official - Phone:609-635-1133
Mailing Address - Street 1:162 READING AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLYN
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1414
Mailing Address - Country:US
Mailing Address - Phone:609-635-1133
Mailing Address - Fax:
Practice Address - Street 1:162 READING AVE
Practice Address - Street 2:
Practice Address - City:OAKLYN
Practice Address - State:NJ
Practice Address - Zip Code:08107-1414
Practice Address - Country:US
Practice Address - Phone:609-635-1133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty