# MR. FAHEEM MUMIN NURUDDIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396130712
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NJ | Yes |
| 103TC1900X | Counseling Psychologist | — | NJ | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NJ | — |

## Other

- **Enumeration date:** 04/02/2015
- **Last updated:** 04/02/2015