Active NPIIndividual provider

Gina M Conner, MA, LAC

Counselor, Mental Health in West Caldwell, New Jersey

NPI Number1356927263
Practice location
175 Fairfield Ave Ste 1C, West Caldwell, NJ 07006-6415
Fax
—
Last updated
March 22, 2021

Gina M. Conner is a Counselor, Mental Health based in West Caldwell, NJ. Gina M. Conner practices in West Caldwell, NJ and has the professional credentials of MA, LAC. The NPI Number for Gina M. Conner is 1356927263 and holds a License No. 37AC00363800 (NJ). The current practice location address for Gina M. Conner is 175 Fairfield Ave Ste 1C, West Caldwell, NJ 07006-6415 and can be reached out via phone at 973-865-4454.

Provider Profile Details

NPI Number
1356927263
Provider Name
Gina M. Conner
Credential
MA, LAC
Provider Entity Type
Individual
Gender
Female
Address
175 Fairfield Ave Ste 1C, West Caldwell, NJ 07006-6415
Phone Number
973-865-4454
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2021
Last Update Date
March 22, 2021
Certification Date
March 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Fairfield Ave Ste 1C
West Caldwell, NJ 07006-6415
Zip
07006-6415
Phone Number
973-865-4454
West Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
175 Fairfield Ave Ste 1C
West Caldwell, NJ 07006-6415
City
West Caldwell
State
NJ
Zip
07006-6415
Phone Number
973-865-4454

License Information

License Number
37AC00363800
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Gina M Conner, MA, LAC?

The NPI number of Gina M Conner, MA, LAC is 1356927263. It was assigned on March 22, 2021 and is currently active in the NPPES registry.

What is the specialty of Gina M Conner, MA, LAC?

Gina M Conner, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00363800.

Where does Gina M Conner, MA, LAC practice?

The practice location is 175 Fairfield Ave Ste 1C, West Caldwell, NJ 07006-6415. The office can be reached at 973-865-4454 (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 1356927263 directly on the NPPES registry website.

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