Individual
JENNIFER VINCES-CUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 CENTRAL AVENUE, MOUNTAINSIDE, NJ 07092-0709
(410) 893-4600
(443) 640-4358
Mailing address
316 STIRLING RD, WATCHUNG, NJ 07069-5942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004762
NY
101YP2500X
Professional Counselor
Primary
37PC00560500
NJ
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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