Individual
KERRY GORBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 GRAND ST FL 2, JERSEY CITY, NJ 07302-4238
(201) 915-2247
Mailing address
395 GRAND ST FL 2, JERSEY CITY, NJ 07302-4238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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