Individual
NADA K SAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
60 SPRUCE ST, ELMWOOD PARK, NJ 07407-2760
(201) 719-3019
Mailing address
60 SPRUCE ST, ELMWOOD PARK, NJ 07407-2760
(201) 719-3019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC01089000
NJ
101YM0800X
Mental Health Counselor
37PC01089000
NJ
101YP2500X
Professional Counselor
Primary
37PC01089000
NJ
106H00000X
Marriage & Family Therapist
37PC01089000
NJ
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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