Individual
IRLANDE STAVIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
56 CONGRESSIONAL PKWY, LIVINGSTON, NJ 07039-2133
(732) 672-9051
Mailing address
555 HIGH ST STE 9, MOUNT HOLLY, NJ 08060-1062
(732) 672-9051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00635800
NJ
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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