Individual
JAMES W FAY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1065 RTE 22, SUITE 3 D, BRIDGEWATER, NJ 08807-2949
(908) 231-0511
(908) 231-1115
Mailing address
273 CARLTON AVE, WASHINGTON, NJ 07882-1213
(908) 596-0095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00423800
NJ
Other
Enumeration date
05/14/2009
Last updated
07/19/2011
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