JOLENE BREDRICK (NPI# 1497316533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497316533 |
| Entity Type | Individual |
| Full Name | JOLENE BREDRICK |
| Credential | LMFT |
| Practice Address |
1 Lupton Ave Woodbury NJ 08096-5901 |
| Mailing Address |
6 Continental Ln Marlton NJ 08053-4606 |
| Practice Telephone | 8563324298 |
| Mailing Telephone | 6099224425 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 37FI00175800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1 LUPTON AVE |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184140022 | Marcus Meara | Counselor | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2017-08-22 |
| 1689274029 | Nancy A Kenny | Assistant Behavior Analyst | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2020-10-26 |
| 1386268407 | Marisa Michelle Maslen | Behavioral Analyst | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2020-06-04 |
| 1245868231 | Kelsey Decker | Behavioral Analyst | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2020-03-27 |
| 1548897481 | Kyle Stinsman | Assistant Behavior Analyst | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2020-03-23 |
| 1346876091 | Rachael Griffin | Behavioral Analyst | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2020-03-13 |
| 1447894274 | Holly Gessner | Social Worker | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2019-11-05 |
| 1598308199 | Jason William Lang | Marriage & Family Therapist | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2019-10-26 |
| 1255984134 | Michelle Leyman | Marriage & Family Therapist | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2019-07-19 |
| 1184196164 | Denisha Warren | Counselor | 1 Lupton Ave, Woodbury, NJ 08096-5901 | 2019-01-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179727 | Natasha Ann Keller | Marriage & Family Therapist | 1802 Wooddale Dr Ste 101, Woodbury, MN 55125-2993 | 2020-09-22 |
| 1326587023 | Raymond Kennedy Md Pa | Marriage & Family Therapist | 9680 Tamarack Rd # 100, Woodbury, MN 55125-2617 | 2017-02-15 |
| 1326412362 | Pamela Lynn Graber | Marriage & Family Therapist | 8154 Enclave Rd, Woodbury, MN 55125-3032 | 2015-11-13 |
| 1356731368 | Erin Pash | Marriage & Family Therapist | 6949 Valley Creek Rd. #220, Woodbury, MN 55125 | 2015-01-28 |
| 1992047757 | Beth W Ruske | Marriage & Family Therapist | 3 S Broad St Ste 3b, Woodbury, NJ 08096-4627 | 2013-03-20 |
| 1538407150 | Valentine Counseling Services | Marriage & Family Therapist | 6043 Hudson Rd Ste 140p, Woodbury, MN 55125-1030 | 2013-01-17 |
| 1679877252 | Danielle Alyssa Carlson | Marriage & Family Therapist | 6949 Valley Creek Rd Ste 220, Woodbury, MN 55125-2258 | 2010-12-22 |
| 1366761231 | Virginia L. Olson | Marriage & Family Therapist | 1937 Woodlane Drive, Suite 209, Woodbury, MN 55125-4044 | 2010-05-18 |
| 1871815506 | Traci Astrid Valentine | Marriage & Family Therapist | 6053 Hudson Rd Ste 152, Woodbury, MN 55125-1015 | 2010-02-22 |
| 1003042227 | Elizabeth Leah Bunovsky | Marriage & Family Therapist | 51 Weekeepeemee Rd, Woodbury, CT 06798-2002 | 2009-06-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.