| Janice Victor | |
|
248 Lorraine Ave Suite#3 Montclair NJ 07043-1454 | |
| (862) 368-2670 | |
| (973) 744-3550 |
| Full Name | Janice Victor |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 248 Lorraine Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Janice Marie Victor (PROVIDER) |
| Authorized Official Contact | 9737443550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice Victor 248 Lorraine Ave Suite#3 Montclair NJ 07043-1454 Ph: (862) 368-2670 | Janice Victor 248 Lorraine Ave Suite#3 Montclair NJ 07043-1454 Ph: (862) 368-2670 |
| NPI Number | 1336579010 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 11/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336579010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 44SC00148700 (New Jersey) | Primary |
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