| Jennifer Holak Llc | |
|
913 Route 23 Ste 6 Pompton Plains NJ 07444-1059 | |
| (973) 520-7560 | |
| Not Available |
| Full Name | Jennifer Holak Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 913 Route 23, Pompton Plains, New Jersey |
| Authorized Official Name and Position | Jennifer Holak (OWNER) |
| Authorized Official Contact | 9735207560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Holak Llc 130 New Road Apt N8 Parsippany NJ 07054-4262 Ph: (973) 520-7560 | Jennifer Holak Llc 913 Route 23 Ste 6 Pompton Plains NJ 07444-1059 Ph: (973) 520-7560 |
| NPI Number | 1356826184 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356826184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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