Organization
ACROSS THE BRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YUKO TANAKA INZANA LCSW (OWNER)
(609) 917-4011
Entity
Organization
Contact information
Practice address
12 ROSZEL RD, SUITE A 103, PRINCETON, NJ 08540-6234
(609) 917-4011
Mailing address
114 CLINTON ST, LAMBERTVILLE, NJ 08530-1911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05369800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3912200000
MAGELLAN
NJ
Enumeration date
04/03/2014
Last updated
04/03/2014
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