Individual
MRS. SALLY ANN GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9 BRIAR LN, NUTLEY, NJ 07110-3001
(973) 623-0600
Mailing address
9 BRIAR LN, NUTLEY, NJ 07110-3001
(973) 623-0600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37AC00418500
NJ
101YP2500X
Professional Counselor
Primary
37PC00813600
NJ
Other
Enumeration date
11/22/2021
Last updated
02/02/2022
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