Individual
MR. FAHEEM MUMIN NURUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
158 SOUTH HARRISON STREET #3G, EAST ORANGE, NJ 07018
(973) 280-6261
Mailing address
158 SOUTH HARRISON STREET #3G, EAST ORANGE, NJ 07018
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
NJ
103TC1900X
Counseling Psychologist
—
NJ
103TP2701X
Group Psychotherapy Psychologist
—
NJ
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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