Individual
DIMITRIS MYLES MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12 PROSPECT ST, BLOOMFIELD, NJ 07003-3211
(717) 343-7551
Mailing address
858 SANFORD AVE, IRVINGTON, NJ 07111-1510
(717) 343-7551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00494400
NJ
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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