Avena Psychological Services LLC
Psychologist, Clinical in Jersey City, NJ. Organization (NPI-2).
NPI number1497519722
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1497519722
- Entity type
- Organization (NPI-2)
- Legal business name
- Avena Psychological Services LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 7, 2024
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Other names
- Avena Psychological Services LLC (Other Name)
Practice location
344 Grove St # 4001Jersey City, NJ 07302-5923
Phone 212-906-4495
Mailing address
344 Grove St # 4001Jersey City, NJ 07302-5923
Authorized official
Jolie Avena
Owner
3473784588
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