Individual
MRS. LAKEESHA DANIELLA CONYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1050 WALL ST W, LYNDHURST, NJ 07071-3621
(732) 982-2828
Mailing address
410 ROBINS ST, ROSELLE, NJ 07203-1809
(201) 595-9925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00793100
NJ
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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