Individual
MS. JOANA MATILDE COUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
63 MILLTOWN RD, EAST BRUNSWICK, NJ 08816-2378
(732) 659-0683
Mailing address
63 MILLTOWN RD, EAST BRUNSWICK, NJ 08816-2378
(732) 659-0683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00493200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37AC00493200
N/A
NJ
Enumeration date
10/22/2019
Last updated
10/22/2019
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