| Wendy Orellana Lpc Llc | |
|
1011 Avenue C Apt 123 Bayonne NJ 07002-3200 | |
| (862) 324-6739 | |
| Not Available |
| Full Name | Wendy Orellana Lpc Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1011 Avenue C Apt 123, Bayonne, New Jersey |
| Authorized Official Name and Position | Wendy Vanessa Orellana (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8623246739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Orellana Lpc Llc 1011 Avenue C Apt 123 Bayonne NJ 07002-3200 Ph: (862) 324-6739 | Wendy Orellana Lpc Llc 1011 Avenue C Apt 123 Bayonne NJ 07002-3200 Ph: (862) 324-6739 |
| NPI Number | 1962925719 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962925719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 37PC00521600 (New Jersey) | Primary |
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