Individual
MRS. EBONY JAMES MINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3582
(732) 674-9857
Mailing address
149 KATHERINE AVE, CLIFTON, NJ 07012-1136
(973) 460-6498
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00047700
NJ
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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