Individual
JOEL PETER BASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10 MINELL PL, TEANECK, NJ 07666-5508
(201) 280-4973
Mailing address
180 HICKORY LN, CLOSTER, NJ 07624-2301
(201) 280-4973
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC00919
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC00919
STATE OF NEW JERSEY
NJ
Enumeration date
11/13/2019
Last updated
11/13/2019
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