Nantume Kabanda, SCC-C
Counselor, Pastoral in Newark, NJ. Individual provider (NPI-1).
NPI number1164048138
StatusActive
Last updated in NPPESMay 22, 2025
Details
- NPI
- 1164048138
- Entity type
- Individual (NPI-1)
- Name
- Nantume Kabanda
- Credential
- SCC-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2020
- Certification date
- May 22, 2025
- Last updated
- May 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP1600X | Counselor, Pastoral | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP1600X | Counselor, Pastoral | 397129034 | TX | |
| 261QC1500X | Clinic/Center, Community Health | – | – |
Practice location
19 Grand Ave # 1Newark, NJ 07106-1223
Phone 732-874-0156
Mailing address
19 Grand Ave # 1Newark, NJ 07106-1223
Phone 732-874-0156
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