Everlon Still Valid NPI
Individual provider · Mental Health Counselor · Pine Hill, NJ
- NPI
- 1669974895
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-03-04
- Last updated
- 2018-03-04
Practice location
77 Millstream Rd
Pine Hill, NJ 08021-6447
(856) 861-5448