Individual
JOSEPH MANUEL GANDARILLAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 CLAREMONT AVE STE 5, MONTCLAIR, NJ 07042-2218
(973) 768-6953
Mailing address
207 WALNUT ST, MONTCLAIR, NJ 07042-2925
(973) 768-6953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC01123700
NJ
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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