Individual
EVAN STERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC, LPC
Contact information
Practice address
112 COLUMBIA ST, WOOD RIDGE, NJ 07075-2406
(914) 257-7886
Mailing address
112 COLUMBIA ST, WOOD RIDGE, NJ 07075-2406
(914) 282-5108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001747
NY
101YP2500X
Professional Counselor
Primary
37PC00879400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001747
LICENSED MENTAL HEALTH COUNSELOR
NY
01
—
37PC00879400
PROFESSIONAL COUNSELOR
NJ
Enumeration date
04/05/2016
Last updated
03/09/2023
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