Tracey, Jenny

Tracey, Jenny is an individual health care provider with primary practice located at 787 Sassafras Ct , Mahwah NJ 07430-3455. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Tracey, Jenny can be contacted via phone (347) 217-2586.

Contact Information

Primary practice address
787 Sassafras Ct Mahwah NJ 07430-3455
Phone: (347) 217-2586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 008848 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00762000 New Jersey

Profile Details

NPI number 1134661556
LBN Legal business name Tracey, Jenny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2016
Last updated Nov 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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