Individual
GIOCONDA MICHINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
395 GRAND ST, JERSEY CITY, NJ 07302-4238
(201) 915-2834
(201) 915-2837
Mailing address
605 13TH ST FL 2, UNION CITY, NJ 07087-3129
(201) 923-2233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00508700
NJ
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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