Individual
CARLOS DESOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-3289
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-3289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4144007
—
NJ
Enumeration date
10/01/2008
Last updated
04/10/2013
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