Individual
FAYTH RISSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 TRINITY PL, WESTFIELD, NJ 07090-3369
(908) 268-2689
Mailing address
8 DELMORE DR, KENDALL PARK, NJ 08824-7015
(908) 268-2689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00420200
NJ
101YP2500X
Professional Counselor
Primary
37PC00744000
NJ
Other
Enumeration date
12/08/2020
Last updated
12/28/2020
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