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201 S Livingston Ave Ste 1a Livingston NJ 07039-4040 | |
| (908) 759-6781 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 201 S Livingston Ave Ste 1a, Livingston, New Jersey |
| Authorized Official Name and Position | Rashidah Jenious (OWNER) |
| Authorized Official Contact | 9087596781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 561 Woodbridge NJ 07095-0561 Ph: (908) 759-6781 | 201 S Livingston Ave Ste 1a Livingston NJ 07039-4040 Ph: (908) 759-6781 |
| NPI Number | 1093460057 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 01/07/2025 |
| Certification Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093460057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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