Individual
TANESHA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 SAINT GEORGES AVE STE 106, COLONIA, NJ 07067-3427
(908) 388-1716
(856) 212-1214
Mailing address
1503 SAINT GEORGES AVE STE 106, COLONIA, NJ 07067-3427
(908) 388-1716
(856) 212-1214
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37LC00260400
STATE LICENSE
NJ
Enumeration date
03/02/2022
Last updated
03/02/2022
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