Individual
IVANA MITIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
570 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1308
(973) 450-3100
Mailing address
570 BELLEVILLE AVE, BELLEVILLE, NJ 07109-1308
(973) 450-3100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00623000
NJ
Other
Enumeration date
12/19/2022
Last updated
03/07/2023
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