Organization
MIRA DESAI, LLC
Active
Other names
Mira Desai, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MIRA DESAI LPC (OWNER)
(917) 533-5871
Entity
Organization
Contact information
Practice address
64 CONKLING ST, BASKING RIDGE, NJ 07920-1715
(917) 533-5871
Mailing address
64 CONKLING ST, BASKING RIDGE, NJ 07920-1715
(917) 533-5871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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