Individual
CARISMA NATALIS MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
786 KING GEORGE RD, FORDS, NJ 08863-1981
(732) 638-0443
Mailing address
215 PERSHING AVE APT 2, CARTERET, NJ 07008-3057
(646) 764-5382
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00780500
NJ
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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