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Organization

MINDFUL MINDS LLC

Active
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Organization

MINDFUL MINDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA BORDAS MA, MED, LPC (LICENSED PROFESSIONAL COUNSELOR)
(609) 200-0223
Entity
Organization

Contact information

Practice address
812 STATE RD STE 223, PRINCETON, NJ 08540-1400
(609) 200-0223
Mailing address
812 STATE RD STE 223, PRINCETON, NJ 08540-1400
(609) 200-0223

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—

Other

Enumeration date
02/12/2021
Last updated
02/26/2023
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