Provider Demographics
NPI:1124176391
Name:MORALES, JENNIFER (MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 WOODSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-3601
Mailing Address - Country:US
Mailing Address - Phone:609-203-0615
Mailing Address - Fax:856-223-9278
Practice Address - Street 1:2121 HIGHWAY 33
Practice Address - Street 2:LEXINGTON SQAURE COMMONS
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-1740
Practice Address - Country:US
Practice Address - Phone:609-203-0615
Practice Address - Fax:856-223-9278
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37 PC00046300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional