Organization
JERSEY FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONZUELO LEVIA MA (OWNER)
(551) 274-3876
Entity
Organization
Contact information
Practice address
63 HILL ST APT 5M, MORRISTOWN, NJ 07960-7608
(551) 274-3876
Mailing address
63 HILL ST APT 5M, MORRISTOWN, NJ 07960-7608
(551) 274-3876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093180911
—
NJ
05
—
1164058442
—
NJ
Enumeration date
05/11/2022
Last updated
05/26/2022
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