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NPI 1518528264 · on the registry since 2019 · sole proprietor

Practice

Address
219 Charles St Apt 3
Hackensack, NJ 07601
Phone
(973) 444-0879
Organisation at this address
Vida Wellness And Counseling Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-24

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