Individual
GRACEL JERSCHINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
22-08 ROUTE 208, SUITE 16, FAIR LAWN, NJ 07410-2609
(616) 655-8638
Mailing address
599 BROADWAY, APT 6B, PATERSON, NJ 07514-1969
(616) 558-6388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00337100
NJ
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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