Individual
DIANE BLEIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 ROUTE 35, WALL TOWNSHIP, NJ 07719-3530
(732) 481-4743
Mailing address
1212 TODD CT, LAKEWOOD, NJ 08701-2256
(609) 225-9355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00066500
NJ
101YM0800X
Mental Health Counselor
Primary
44SL04965700
NJ
101YM0800X
Mental Health Counselor
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Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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