Individual
ELLEN USATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
681 LAWLINS RD UNIT 195, WYCKOFF, NJ 07481-1486
(201) 365-7447
Mailing address
15-18 ALDEN TER, FAIR LAWN, NJ 07410-3519
(201) 365-7447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
012264
NY
101YP2500X
Professional Counselor
Primary
37PC00902100
NJ
Other
Enumeration date
03/11/2022
Last updated
02/25/2024
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