Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Park, NCCLPCLPATATR-BC

Individual provider Mental Health Counselor · NPI 1114645876

Jenna Park, NCCLPCLPATATR-BC is a Mental Health Counselor in Kinnelon, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2022

Practice location Address checks out

27 Forestdale Rd
Kinnelon, NJ 07405-2558
Phone: (973) 303-8613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37PC00871800 (NJ)

Record details

NPI number1114645876
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCCLPCLPATATR-BC
Sole proprietorYes
NPI enumeratedAugust 18, 2022
Last updated in NPPESJune 23, 2024
Certification dateJune 23, 2024

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