Individual provider · NPI-1

Rachael Ekenezar, LPC

Counselor, Professional · New Providence, NJ

NPI number1063096519
StatusActive
Last updated in NPPESJun 21, 2024

Details

NPI
1063096519
Entity type
Individual (NPI-1)
Name
Rachael Ekenezar
Credential
LPC
Sex
Female
Sole proprietor
No
Enumeration date
May 11, 2021
Certification date
Jun 21, 2024
Last updated
Jun 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional37PC00756800NJYes

Practice location

890 Mountain Ave
New Providence, NJ 07974-1218

Phone 908-277-8900

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Phone 908-273-4300

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