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Conzuelo Leiva, LAC
Mental Health Counselor in Guttenberg, New Jersey
NPI 1164058442

Conzuelo Leiva is a Mental Health Counselor based in Guttenberg, NJ and is specialized in Mental Health. Conzuelo Leiva practices in Guttenberg, NJ and has the professional credentials of LAC. The NPI Number for Conzuelo Leiva is 1164058442 and holds a License No. 37AC00350200 (New Jersey).

The current practice location address for Conzuelo Leiva is 127 69Th St, Guttenberg, NJ and can be reached out via phone at 551-274-3876.

Location: 127 69Th St, Guttenberg, NJ, 07093-3339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164058442
Provider Name
Conzuelo Leiva
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
127 69Th St, Guttenberg, NJ, 07093-3339
Phone Number
551-274-3876
Fax Number
Provider Enumeration Date
03/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37AC00350200 01 NJ LICENSE
institution
Provider Business Practice Location Address Details
Address
127 69Th St
City
Guttenberg
State
New Jersey
Zip
07093-3339
Phone Number
551-274-3876
Fax Number
person
Provider Business Mailing Address Details
Address
127 69Th St
City
Guttenberg
State
New Jersey
Zip
07093-3339
Phone Number
551-274-3876
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
37AC00350200 (New Jersey)
Definition
Definition to come...
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