person
Mrs. Lizandra M Portalatin, MA,LAC
Mental Health Counselor in Fair Lawn, New Jersey
NPI 1346862000

Lizandra M Portalatin is a Mental Health Counselor based in Scotch Plains, NJ and is specialized in Mental Health. Lizandra M Portalatin practices in Fair Lawn, NJ and has the professional credentials of MA,LAC. The NPI Number for Lizandra M Portalatin is 1346862000 and holds a License No. 37AC00529000 (New Jersey).

The current practice location address for Lizandra M Portalatin is 22-08 Route 208 Ste 16, Fair Lawn, NJ and can be reached out via phone at 201-956-6363.

Location: 22-08 Route 208 Ste 16, Fair Lawn, NJ, 07076-3111
person
Provider Profile Details
NPI Number
1346862000
Provider Name
Lizandra M Portalatin
Credential
MA,LAC
Provider Entity Type
Individual
Gender
Female
Address
22-08 Route 208 Ste 16, Fair Lawn, NJ, 07076-3111
Phone Number
201-956-6363
Fax Number
Provider Enumeration Date
05/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22-08 Route 208 Ste 16
City
State
Zip
07410-2609
Phone Number
201-956-6363
Fax Number
person
Provider Business Mailing Address Details
Address
22-08 Route 208 Ste 16
City
State
Zip
07410-2609
Phone Number
201-956-6363
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37AC00529000 (New Jersey)
Definition
Definition to come...
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