Organization
K M COELHOVERA EDS LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY COELHO-VERA LPC (OWNER)
(201) 362-7036
Entity
Organization
Contact information
Practice address
290 CHESTNUT ST STE 206, NEWARK, NJ 07105-6524
(201) 362-7036
Mailing address
39 SPRING RD, LIVINGSTON, NJ 07039-2717
(201) 362-7036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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