Individual
MRS. LEISLY A GUIJARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
395 GRAND ST FL 2, JERSEY CITY, NJ 07302-4238
(201) 915-2000
(201) 915-2837
Mailing address
395 GRAND ST FL 2, JERSEY CITY, NJ 07302-4238
(201) 915-2000
(201) 915-2837
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NJ
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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