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Individual

ERIKA BAQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 GOODMANS XING, CLARK, NJ 07066-2705
(201) 667-3855
Mailing address
110 GOODMANS XING, CLARK, NJ 07066-2705

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00363400
NJ
101YM0800X
Mental Health Counselor
Primary
37PC01128800
NJ

Other

Enumeration date
10/14/2025
Last updated
10/14/2025
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