Individual
MARIA ANTONIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
125 GATES AVE, APT 15, MONTCLAIR, NJ 07042-2522
(347) 615-8670
Mailing address
125 GATES AVE, APT 15, MONTCLAIR, NJ 07042-2522
(347) 615-8670
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
001277
NY
106H00000X
Marriage & Family Therapist
Primary
37FI00179400
NJ
Other
Enumeration date
02/18/2016
Last updated
09/20/2016
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