| Boutique Counseling | |
|
360 Mulberry St Newark NJ 07102-3415 | |
| (732) 655-4991 | |
| Not Available |
| Full Name | Boutique Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 360 Mulberry St, Newark, New Jersey |
| Authorized Official Name and Position | Vanessa Nicole Russo (OWNER) |
| Authorized Official Contact | 7326554991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boutique Counseling 360 Mulberry St Newark NJ 07102-3415 Ph: () - | Boutique Counseling 360 Mulberry St Newark NJ 07102-3415 Ph: (732) 655-4991 |
| NPI Number | 1508554726 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508554726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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