Jessica Ebegbulem, LAC
Counselor in Newark, New Jersey
1457707994- Practice location
- 183 S Orange Ave, Newark, NJ 07103-2757
- Phone
- 732-235-5000
- Fax
- —
- Last updated
- May 13, 2016
Jessica Ebegbulem is a Counselor based in Newark, NJ. Jessica Ebegbulem practices in Newark, NJ and has the professional credentials of LAC. The NPI Number for Jessica Ebegbulem is 1457707994 and holds a License No. 37AC00103900 (NJ). The current practice location address for Jessica Ebegbulem is 183 S Orange Ave, Newark, NJ 07103-2757 and can be reached out via phone at 732-235-5000.
Provider Profile Details
- NPI Number
- 1457707994
- Provider Name
- Jessica Ebegbulem
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 183 S Orange Ave, Newark, NJ 07103-2757
- Phone Number
- 732-235-5000
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2016
- Last Update Date
- May 13, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 183 S Orange Ave
Newark, NJ 07103-2757 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2757
- Phone Number
- 732-235-5000
Provider Business Mailing Address Details
- Address
- 183 S Orange Ave
Newark, NJ 07103-2757 - City
- Newark
- State
- NJ
- Zip
- 07103-2757
- Phone Number
- 732-235-5000
License Information
- License Number
- 37AC00103900
- License State
- NJ
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Newark, NJ
View all Counselors in Newark →Frequently Asked Questions
What is the NPI number of Jessica Ebegbulem, LAC?
The NPI number of Jessica Ebegbulem, LAC is 1457707994. It was assigned on May 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Jessica Ebegbulem, LAC?
Jessica Ebegbulem, LAC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 37AC00103900.
Where does Jessica Ebegbulem, LAC practice?
The practice location is 183 S Orange Ave, Newark, NJ 07103-2757. The office can be reached at 732-235-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457707994 directly on the NPPES registry website.