Individual
DR. WANDA Y QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED. D
Contact information
Practice address
322 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901
(732) 202-5406
(732) 543-0602
Mailing address
335 GEORGE STREET, SUITE 4 #307, NEW BRUNSWICK, NJ 08901-3457
(908) 358-5068
(908) 312-5076
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NJ
101YM0800X
Mental Health Counselor
—
NJ
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601288646
UNITED HEALTHCARE
NJ
01
—
937923
BCBSNJ
NJ
01
—
LPCC15042
LPCC
CA
01
—
PC015328
LPC
PA
01
—
TPMC3811
LMHC
FL
Enumeration date
06/05/2015
Last updated
02/07/2024
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