Organization
PSYCHTHERAPEUTICS BY THE C. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGIA CHIJIOKE PMHNT-BC (NURSE PRACTITIONER)
(973) 856-0849
Entity
Organization
Contact information
Practice address
185 CENTRAL AVE, EAST ORANGE, NJ 07018-3332
(973) 856-0849
Mailing address
39 HOLLAND ST, NEWARK, NJ 07103-2096
(973) 856-0849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336415553
NURSE PRACTIONER
NY
Enumeration date
03/19/2020
Last updated
03/19/2020
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