Individual
FATHIYYAH SALAAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BLOOMFIELD AVE STE 4, CALDWELL, NJ 07006-5100
(973) 202-9358
Mailing address
33 ASHLAND AVE APT 308, WEST ORANGE, NJ 07052-5566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00809800
NJ
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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