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Amani Dorothy Beach

Counselor, Mental Health in Montclair, NJ. Individual provider (NPI-1).

NPI number1134834856
StatusActive
Last updated in NPPESJan 17, 2023

Details

NPI
1134834856
Entity type
Individual (NPI-1)
Name
Amani Dorothy Beach
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 17, 2023
Certification date
Jan 17, 2023
Last updated
Jan 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

104 Bloomfield Ave
Montclair, NJ 07042-4723

Phone 973-783-6655

Mailing address

104 Bloomfield Ave
Montclair, NJ 07042-4723

Phone 973-783-6655

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