Individual
EBONI MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCPA
Contact information
Practice address
102 N 19TH ST, EAST ORANGE, NJ 07017-5204
(973) 953-3393
Mailing address
102 N 19TH ST # 2ND, EAST ORANGE, NJ 07017-5204
(973) 953-3393
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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