Individual
HARRIS SIDDIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 REGENT ST STE 701, LIVINGSTON, NJ 07039-1628
(862) 799-7627
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00829700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37AC00829700
LICENSE
NJ
Enumeration date
05/05/2025
Last updated
05/05/2025
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