Individual
JENNIFER J VICTORIA-PROANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC, CBIS
Contact information
Practice address
18-01 POLLITT DRIVE SUITE 1A, FAIR LAWN, NJ 07410
(201) 478-4200
(201) 478-4202
Mailing address
18-01 POLLITT DR STE 1A, FAIR LAWN, NJ 07410-2815
(201) 478-4200
(201) 478-4202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00060900
NJ
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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