Jayshree Gandhi, LPC, LCADC, ACS
Counselor, Mental Health in Piscataway, NJ. Individual provider (NPI-1).
NPI number1285998286
StatusActive
Last updated in NPPESOct 12, 2020
Details
- NPI
- 1285998286
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jayshree Gandhi
- Credential
- LPC, LCADC, ACS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 25, 2012
- Certification date
- Oct 12, 2020
- Last updated
- Oct 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 37PC00461900 | NJ | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37LC00175200 | NJ | |
| 101YP2500X | Counselor, Professional | – | – |
Other names
- Jayshree Agrawal (Former Name)
Practice location
30 Knightsbridge Rd Ste 525Piscataway, NJ 08854-3963
Phone 732-362-4003 · Fax 201-812-9569
Mailing address
4 Clark StSayreville
Sayreville, NJ 08872-1583
Phone 201-220-5458
Other practice locations
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