Individual
IVANA PAREJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, LPC, LCADC
Contact information
Practice address
108 STRAUBE CENTER BLVD, SUITE I-8C, PENNINGTON, NJ 08534-1448
(732) 207-8778
Mailing address
108 STRAUBE CENTER BLVD, SUITE I-8C, PENNINGTON, NJ 08534-1448
(732) 207-8778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00158900
NJ
101YP2500X
Professional Counselor
Primary
37PC00357400
NJ
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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