Individual
JAMIE BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 BROADWAY, PATERSON, NJ 07514-2834
(862) 232-8653
Mailing address
525 BROADWAY, PATERSON, NJ 07514-2834
(862) 232-8653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00182200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094722
—
NJ
Enumeration date
03/19/2015
Last updated
03/19/2015
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