Individual
GERSHON WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
784 HOWARD ST, TEANECK, NJ 07666-5352
(201) 790-0659
Mailing address
784 HOWARD ST, TEANECK, NJ 07666-5352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00072800
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
4331
NY
101YM0800X
Mental Health Counselor
999-1
NY
101YP2500X
Professional Counselor
Primary
37PC00034000
NJ
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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