Individual
MR. JASON MANIZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
159 E TRYON AVE, TEANECK, NJ 07666-6142
(347) 796-1039
Mailing address
159 E TRYON AVE, TEANECK, NJ 07666-6142
(347) 796-1039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004632-01
NY
Other
Enumeration date
08/29/2012
Last updated
05/02/2023
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