Individual
DEIDRE ASENSO-MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 GREENE AVE, TOTOWA, NJ 07512-1630
(609) 972-0933
Mailing address
29 GREENE AVE, TOTOWA, NJ 07512-1630
(609) 972-0933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00285300
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00730800
NJ
Other
Enumeration date
11/09/2020
Last updated
07/15/2024
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