NICOLETTE LYNN JERNEGAN
NPI 1902539505
Counselor in Fair Lawn, NJ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since July 01, 2022

16-01 BROADWAY, FAIR LAWN, NJ 07410(201) 797-0001 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nicolette Lynn Jernegan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLETTE LYNN JERNEGAN (NPI 1902539505) is an individual counselor in Fair Lawn, New Jersey and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1902539505

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameNICOLETTE LYNN JERNEGAN

Location Address16-01 BROADWAYFair Lawn, NJ 07410-2026

Mailing Address16-01 BroadwayFair Lawn, NJ 07410-2026 · (201) 797-0001

Phone(201) 797-0001

Sole ProprietorYes

Enumeration DateJuly 1, 2022

NPPES CertifiedJuly 1, 2022

✔ NPI 1902539505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

16-01 BROADWAY, Fair Lawn, NJ 07410

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