Individual
BIANCA KAZOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
315 CENTRAL AVE, WEST CALDWELL, NJ 07006-6523
(973) 838-8375
Mailing address
6 HILLSIDE RD, KINNELON, NJ 07405-2306
(973) 838-8375
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00371000
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00634200
NJ
Other
Enumeration date
06/10/2009
Last updated
04/01/2021
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