Provider Demographics
NPI:1386005411
Name:WASHINGTON, JALEN
Entity type:Individual
Prefix:MR
First Name:JALEN
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 US HIGHWAY 9 N STE 204
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-1200
Mailing Address - Country:US
Mailing Address - Phone:848-291-4001
Mailing Address - Fax:848-757-5878
Practice Address - Street 1:1000 US HIGHWAY 9 N
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1215
Practice Address - Country:US
Practice Address - Phone:848-291-4001
Practice Address - Fax:848-757-5878
Is Sole Proprietor?:No
Enumeration Date:2016-03-17
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NJ37FA00017500106H00000X
NJ37PC00982300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist