Provider Demographics
NPI:1710465877
Name:MONTALBANO, JENNA ELIZABETH (LACMH, CADC)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:ELIZABETH
Last Name:MONTALBANO
Suffix:
Gender:F
Credentials:LACMH, CADC
Other - Prefix:MRS
Other - First Name:JENNA
Other - Middle Name:E MONTALBANO
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCMH
Mailing Address - Street 1:226 W PARK PLACE
Mailing Address - Street 2:STE 6
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711
Mailing Address - Country:US
Mailing Address - Phone:302-827-7280
Mailing Address - Fax:302-520-3014
Practice Address - Street 1:226 W PARK PLACE
Practice Address - Street 2:STE 6
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711
Practice Address - Country:US
Practice Address - Phone:302-827-7280
Practice Address - Fax:302-520-3014
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0011717101YM0800X
DEAC-0010361101YM0800X
NJ37AC00682200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE$$$$$$$$$OtherPRIVATE PRACTICE