Melvin Franklin Gattis II, LPC
Counselor, Professional in East Orange, NJ. Individual provider (NPI-1).
NPI number1639802424
StatusActive
Last updated in NPPESJul 8, 2022
Details
- NPI
- 1639802424
- Entity type
- Individual (NPI-1)
- Name
- Melvin Franklin Gattis II
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2022
- Certification date
- Jul 8, 2022
- Last updated
- Jul 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37PC00436300 | NJ | Yes |
Practice location
67 Sanford StEast Orange, NJ 07018-1926
Phone 973-673-3342
Mailing address
22 Central Ave Apt 425West Orange, NJ 07052-5479
Phone 973-494-3164
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