Alexis Cuervo
Counselor, Mental Health in Dumont, NJ. Individual provider (NPI-1).
NPI number1033799028
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1033799028
- Entity type
- Individual (NPI-1)
- Name
- Alexis Cuervo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2021
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2 Park AveDumont, NJ 07628-3004
Phone 201-385-4400
Mailing address
93 W Palisade AveEnglewood, NJ 07631-2611
Phone 201-567-0500
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