Individual
YESENIA TAVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8348
(201) 418-7059
Mailing address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8348
(201) 418-7059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00431400
NJ
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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