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Individual

MR. JOSE PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMFT

Contact information

Practice address
1255 BROAD ST, SUITE 204, BLOOMFIELD, NJ 07003-3000
(973) 771-9000
Mailing address
1255 BROAD ST, SUITE 204, BLOOMFIELD, NJ 07003-3000
(973) 771-9000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37F100163400
NJ

Other

Enumeration date
05/15/2009
Last updated
05/15/2009
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