| Doctor Name: | MS. JILL LISA PULVIRENT |
| NPI Number: | 1073824868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 44SC05409900 |
| Business Practice Address: | 10 Fairmont Avenue Chatham, NJ - 07928 |
| Business Phone Number: | 9737691095 |
| Business Fax Number: | |
| Mailing Address: | 35 Winged Foot Drive, LIVINGSTON |
| State: | NJ |
| Postal Code: | 07039 |
| Phone Number: | 9737691095 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2010 |
| NPI Last Update Date: | 06/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 44SC05409900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |