Individual
MS. SHUMAILA SHAHID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 500-8125
Mailing address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 500-8125
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00764900
NJ
101YM0800X
Mental Health Counselor
37PC00764900
NJ
101YP2500X
Professional Counselor
Primary
37PC00764900
NJ
Other
Enumeration date
02/09/2022
Last updated
03/07/2022
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