Individual
SAMUEL SKAIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 MAIN AVE, PASSAIC, NJ 07055-4427
(973) 777-7638
Mailing address
40 MOUNTAIN AVE, MONSEY, NY 10952-2446
(201) 407-0785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00935000
NJ
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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