Individual
DAMARIS ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1429 45TH ST APT 1, NORTH BERGEN, NJ 07047-2721
(201) 290-9622
Mailing address
1429 45TH ST APT 1, NORTH BERGEN, NJ 07047-2721
(201) 290-9622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05905300
NJ
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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