Individual
MRS. CARMEN DIAZ CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, CSW
Contact information
Practice address
49 MARLIN AVE, PEQUANNOCK, NJ 07440
(973) 650-1414
(973) 305-1857
Mailing address
49 MARLIN AVE, PEQUANNOCK, NJ 07440
(973) 650-1414
(973) 305-1857
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00067700
NJ
103TC1900X
Counseling Psychologist
—
NJ
103TF0200X
Forensic Psychologist
—
NJ
104100000X
Social Worker
44SW00219700
NJ
106H00000X
Marriage & Family Therapist
Primary
37PC00067700
NJ
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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