Individual
MR. JEFFREY HIMELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2-4 GARBER SQ, SUITE B, RIDGEWOOD, NJ 07450-3148
(201) 444-6226
Mailing address
2-4 GARBER SQ, SUITE B, RIDGEWOOD, NJ 07450-3148
(201) 444-6226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04564000
NJ
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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