Individual
IBN ABDUSH MUSA AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 JOHNSON AVE, NEWARK, NJ 07108-2709
(862) 703-6369
Mailing address
182 JOHNSON AVE, NEWARK, NJ 07108-2709
(862) 703-6369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05902200
NJ
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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