Department Of Veterans Affairs
Counselor, Professional in Lyons, NJ. Organization (NPI-2).
NPI number1407960313
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1407960313
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Veterans Affairs
- Organization subpart
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 44SCOO756000 | NJ | Yes |
Practice location
151 Knollcroft RdLyons, NJ 07933
Phone 908-647-0180
Mailing address
94 Washington StBerkeley Heights, NJ 07922-1040
Phone 908-665-1833
Authorized official
Michael Victor Montemurro
Social Worker
9086470180
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