Individual
MRS. IVONNE DEPASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPC
Contact information
Practice address
452 KINGSLAND ST, NUTLEY, NJ 07110-1014
(201) 259-1868
(973) 235-1527
Mailing address
452 KINGSLAND ST, NUTLEY, NJ 07110-1014
(201) 259-1868
(973) 235-1527
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00444500
NJ
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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