Individual
DEISTHER MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 N 3RD AVE, SUITE 100C, HIGHLAND, NJ 08904
(973) 393-2093
Mailing address
55 UNION PL STE 220, SUMMIT, NJ 07901-2563
(973) 393-2093
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00157900
NJ
101YP2500X
Professional Counselor
Primary
37PC00997200
NJ
Other
Enumeration date
09/17/2021
Last updated
12/06/2023
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