Conzuelo Leiva, LAC Valid NPI

Individual provider · Mental Health Counselor · Guttenberg, NJ

NPI

1164058442

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

37AC00350200 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-03-18

Last updated

2020-03-18