Individual
ROSENNA DAVITA HINNANT PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
95 W 13TH ST FL 1, BAYONNE, NJ 07002-1343
(201) 668-1001
Mailing address
95 W 13TH ST FL 1, BAYONNE, NJ 07002-1343
(201) 304-7957
(201) 510-0758
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00630300
NJ
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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