Individual
GRACE ANN BARKHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 986-5037
(201) 265-5027
Mailing address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(807) 986-5037
(801) 265-5027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221487364
—
NJ
Enumeration date
10/04/2017
Last updated
03/11/2022
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