Individual
MARTHA GAVILANES-OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
32 LAKESIDE AVE, BLOOMINGDALE, NJ 07403-1341
(201) 926-4371
Mailing address
32 LAKESIDE AVE, BLOOMINGDALE, NJ 07403-1341
(201) 926-4371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
009322-1
NY
101YP2500X
Professional Counselor
Primary
37PC00845400
NJ
Other
Enumeration date
05/27/2019
Last updated
05/01/2026
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