Individual
RANDI MARIE ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
622 VALLEY RD OFC 6D, UPPER MONTCLAIR, NJ 07043-1470
(201) 298-3190
Mailing address
622 VALLEY RD OFC 6D, UPPER MONTCLAIR, NJ 07043-1470
(201) 298-3190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00467000
NJ
101YP2500X
Professional Counselor
Primary
37PC00855300
NJ
Other
Enumeration date
08/29/2019
Last updated
03/12/2024
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