Individual
MISS STEPHANIE AVILA YAURIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15 RIDGEHURST RD, WEST ORANGE, NJ 07052-5717
(201) 913-0728
Mailing address
15 RIDGEHURST RD, WEST ORANGE, NJ 07052-5717
(201) 913-0728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00836300
NJ
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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