Organization
JOHAN PEGUERO
Active
Other names
Johan Peguero, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
JOHAN PEGUERO (LCSW)
(929) 424-8653
Entity
Organization
Contact information
Practice address
855 BROAD AVE APT 41, RIDGEFIELD, NJ 07657-1032
(929) 424-8653
Mailing address
855 BROAD AVE APT 41, RIDGEFIELD, NJ 07657-1032
(929) 424-8653
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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