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

Jessica Ebegbulem, LAC

Individual provider Counselor · NPI 1457707994

Jessica Ebegbulem, LAC is a Counselor in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

183 S Orange Ave
Newark, NJ 07103-2757
Phone: (732) 235-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 37AC00103900 (NJ)

Record details

NPI number1457707994
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedMay 13, 2016
Last updated in NPPESMay 13, 2016
Mailing address183 S Orange Ave, Newark, NJ 07103-2757

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