SearchNew Jersey101YA0400X

Georges Mombrun, LCSW, LCADC

NPI 1285368746 · on the registry since 2022 · sole proprietor

Practice

Address
560 Morris St
Orange, NJ 07050
Phone
(973) 592-9836

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey