Individual
GEORGE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 VREELAND RD # A, FLORHAM PARK, NJ 07932-1902
(973) 966-9200
Mailing address
19 GRAY ST, WEST CALDWELL, NJ 07006-7605
(862) 400-6243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00672400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310015
—
NJ
Enumeration date
04/01/2020
Last updated
11/27/2023
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