Individual
SHAJMARA RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 W 12TH ST, LINDEN, NJ 07036-4602
(908) 875-3204
Mailing address
46 W 12TH ST, LINDEN, NJ 07036-4602
(908) 875-3204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0450822501
NJ
101YM0800X
Mental Health Counselor
—
NJ
132700000X
Dietary Manager
—
NJ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
0450822501
NJ
171M00000X
Case Manager/Care Coordinator
0450822501
NJ
171M00000X
Case Manager/Care Coordinator
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450822501
—
NJ
Enumeration date
11/08/2022
Last updated
07/14/2025
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