Individual
SHOBHA AYYAPPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2130 MILLBURN AVE STE D1, MAPLEWOOD, NJ 07040-3749
(201) 259-1890
Mailing address
146 GLEN AVE, MILLBURN, NJ 07041-1722
(201) 259-1890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00595000
NJ
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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