Doctor Name: | MS. JANINE MARY KAELIN |
NPI Number: | 1699952267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 37PC00296800 |
Business Practice Address: | 5 Ferndale Rd West Milford, NJ - 074804110 |
Business Phone Number: | 9734094933 |
Business Fax Number: | 9734732308 |
Mailing Address: | 5 Ferndale Rd, WEST MILFORD |
State: | NJ |
Postal Code: | 074804110 |
Phone Number: | 9734094933 |
Fax Number: | 9734732308 |
NPI Enumeration Date: | 01/26/2008 |
NPI Last Update Date: | 01/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00296800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |