Provider Demographics
NPI:1407375892
Name:ANGLIM, JENNA R (LPC)
Entity type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:R
Last Name:ANGLIM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:JENNA
Other - Middle Name:R
Other - Last Name:RINALDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:20 NAVAJO RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-4617
Mailing Address - Country:US
Mailing Address - Phone:732-580-1629
Mailing Address - Fax:
Practice Address - Street 1:20 NAVAJO RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-4617
Practice Address - Country:US
Practice Address - Phone:732-580-1629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-17
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00510900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional