Individual
MRS. KIM M TRAINA-NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
550 W MAIN ST, BOONTON, NJ 07005-1168
(973) 462-8584
Mailing address
195 POWERVILLE RD, BOONTON, NJ 07005-8805
(973) 462-8584
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001338-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001338-1
NY LICENSURE
NY
Enumeration date
10/20/2020
Last updated
10/20/2020
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