Individual
GINA M. CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
175 FAIRFIELD AVE STE 1C, WEST CALDWELL, NJ 07006-6415
(973) 865-4454
Mailing address
175 FAIRFIELD AVE STE 1C, WEST CALDWELL, NJ 07006-6415
(973) 865-4454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00363800
NJ
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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