Ms Konniesha M Moulton, LMFT - Couples Therapy in Upper Montclair, NJ

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Ms Konniesha M Moulton, LMFT is a Marriage & Family Therapist based in Upper Montclair, New Jersey. Ms Konniesha M Moulton is licensed to practice in New Jersey (license number 37FI00177900) and her current practice location is 622-624 Valley Rd Ste 6d, Upper Montclair, New Jersey. She can be reached at her office (for appointments etc.) via phone at (862) 621-0833.

NPI number for Ms Konniesha M Moulton is 1083126866 and her current mailing address is 68 Prospect St, Bloomfield, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083126866.

Contact Information

Ms Konniesha M Moulton, LMFT
622-624 Valley Rd Ste 6d,
Upper Montclair, NJ 07043-1462
(862) 621-0833
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Konniesha M Moulton
GenderFemale
SpecialityMarriage & Family Therapist
Location622-624 Valley Rd Ste 6d, Upper Montclair, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083126866
  • Provider Enumeration Date: 11/01/2017
  • Last Update Date: 11/01/2017

Medical Identifiers

Medical identifiers for Ms Konniesha M Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083126866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 37FI00177900 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Konniesha M Moulton is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Konniesha M Moulton, LMFT
68 Prospect St,
Bloomfield, NJ 07003-3225

Ph: (862) 621-0833		Ms Konniesha M Moulton, LMFT
622-624 Valley Rd Ste 6d,
Upper Montclair, NJ 07043-1462

Ph: (862) 621-0833

Reviews and Comments


Marriage & Family Therapist in Upper Montclair, NJ


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