Individual
ISHRAT JAHAN ASIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D, LPC
Contact information
Practice address
354 AVENUE C, BAYONNE, NJ 07002-1412
(201) 535-5959
Mailing address
412 WOODDALE AVE, STATEN ISLAND, NY 10301-4629
(917) 596-6682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC01023800
NJ
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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