Individual
GABRIELLE VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
43 LINCOLN PARK, NEWARK, NJ 07102-2390
(973) 848-3724
Mailing address
103 LINCOLN PARK, NEWARK, NJ 07102-2388
(973) 623-0600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL06556100
NJ
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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