Provider Demographics
NPI:1710700232
Name:DOLAN, JENNIFER (LPC, LPAT, ATR-BC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:DOLAN
Suffix:
Gender:F
Credentials:LPC, LPAT, ATR-BC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:BIRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 E NEW JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2329
Mailing Address - Country:US
Mailing Address - Phone:609-432-9420
Mailing Address - Fax:
Practice Address - Street 1:501 BAY AVE STE 202
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2554
Practice Address - Country:US
Practice Address - Phone:609-788-0771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00756400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional