Jane Alison Penola, LAC

NPI #1164937066 in Orange, New Jersey

Provider Information

NPI Number: 1164937066
Entity Type: Individual
Name: Jane Alison Penola, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LAC
Enumeration Date: Dec 13, 2017
Last Updated: Dec 13, 2017

Practice Location

Address: 395 S CENTER ST
City: Orange
State: New Jersey
ZIP Code: 07050-3205
Phone: (973) 675-3817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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