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Individual

DONNA GABRIELLA NUCERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
183 OLD TAPPAN RD STE 7, OLD TAPPAN, NJ 07675-7088
(201) 561-4176
Mailing address
183 OLD TAPPAN RD STE 7, OLD TAPPAN, NJ 07675-7088
(201) 561-4176

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00590800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700J07595
BLUE CROSS BLUE SHIELD
Enumeration date
09/22/2021
Last updated
09/22/2021
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