| Doctor Name: | DR. GRETCHEN WHITE JANSSEN |
| NPI Number: | 1205980620 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.MIN. |
| License Number: | 37PC00168800 |
| Business Practice Address: | 596 Overlook Dr Wyckoff, NJ - 074811308 |
| Business Phone Number: | 2018480647 |
| Business Fax Number: | |
| Mailing Address: | 596 Overlook Dr, WYCKOFF |
| State: | NJ |
| Postal Code: | 074811308 |
| Phone Number: | 2018480647 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00168800 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |