Individual
JUANA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REV.
Contact information
Practice address
307 MONROE ST FL 2, PASSAIC, NJ 07055-5207
(973) 510-5465
Mailing address
307 MONROE ST FL 2, PASSAIC, NJ 07055-5207
(973) 510-5465
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
TTC-IIII-07-30-2013
PR
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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