Yesse A Puello, LAC
Counselor, Mental Health in East Orange, New Jersey
1063177194- Practice location
- 7 Glenwood Ave Ste 106, East Orange, NJ 07017-1041
- Phone
- 201-306-3549
- Fax
- —
- Last updated
- January 31, 2023
Yesse Alexandra Puello is a Counselor, Mental Health based in East Orange, NJ. Yesse Alexandra Puello practices in East Orange, NJ and has the professional credentials of LAC. The NPI Number for Yesse Alexandra Puello is 1063177194 and holds a License No. 37AC00512200 (NJ). The current practice location address for Yesse Alexandra Puello is 7 Glenwood Ave Ste 106, East Orange, NJ 07017-1041 and can be reached out via phone at 201-306-3549.
Provider Profile Details
- NPI Number
- 1063177194
- Provider Name
- Yesse Alexandra Puello
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7 Glenwood Ave Ste 106, East Orange, NJ 07017-1041
- Phone Number
- 201-306-3549
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 3, 2021
- Last Update Date
- January 31, 2023
- Certification Date
- January 31, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Glenwood Ave Ste 106
East Orange, NJ 07017-1041 - City
- East Orange
- State
- New Jersey
- Zip
- 07017-1041
- Phone Number
- 201-306-3549
Provider Business Mailing Address Details
- Address
- 53 Homestead Park
Newark, NJ 07108-1213 - City
- Newark
- State
- NJ
- Zip
- 07108-1213
- Phone Number
- 862-888-4276
License Information
- License Number
- 37AC00512200
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Yesse A Puello, LAC?
The NPI number of Yesse A Puello, LAC is 1063177194. It was assigned on November 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Yesse A Puello, LAC?
Yesse A Puello, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00512200.
Where does Yesse A Puello, LAC practice?
The practice location is 7 Glenwood Ave Ste 106, East Orange, NJ 07017-1041. The office can be reached at 201-306-3549 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063177194 directly on the NPPES registry website.