Individual provider · NPI-1
Emily C Fitzgerald
Counselor, Mental Health · New Providence, NJ
NPI number1710654397
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1710654397
- Entity type
- Individual (NPI-1)
- Name
- Emily C Fitzgerald
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2021
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 37PC01102600 | NJ | Yes |
Practice location
121 Chanlon RdNew Providence, NJ 07974-1543
Phone 973-299-9954
Mailing address
131 Center StHightstown, NJ 08520-4229
Phone 609-216-8214
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