Individual
ISABEL MIZARIS ABREU MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 265-8200
Mailing address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 265-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SW-GTL-20-01312
NJ
101YM0800X
Mental Health Counselor
44SL06651900
NJ
101YM0800X
Mental Health Counselor
SW-GTL-20-01312
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06388800
NJ
Other
Enumeration date
01/13/2021
Last updated
10/16/2024
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