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Leola Carlita Singletary
Peer Specialist in Montclair, New Jersey
NPI 1356947584

Leola Carlita Singletary is a Peer Specialist based in Montclair, NJ. Leola Carlita Singletary practices in Montclair, NJ. The NPI Number for Leola Carlita Singletary is 1356947584 and holds a License No. P00646 (New Jersey).

The current practice location address for Leola Carlita Singletary is 104 Bloomfield Ave, Montclair, NJ and can be reached out via phone at 973-783-6655 and via fax at 973-233-1396.

Location: 104 Bloomfield Ave, Montclair, NJ, 07042-4723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356947584
Provider Name
Leola Carlita Singletary
Credential
Provider Entity Type
Individual
Gender
Female
Address
104 Bloomfield Ave, Montclair, NJ, 07042-4723
Phone Number
973-783-6655
Fax Number
973-233-1396
Provider Enumeration Date
12/11/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0580198 05 NJ
6385907 05 NJ
institution
Provider Business Practice Location Address Details
Address
104 Bloomfield Ave
City
Montclair
State
New Jersey
Zip
07042-4723
Phone Number
973-783-6655
Fax Number
973-233-1396
person
Provider Business Mailing Address Details
Address
104 Bloomfield Ave
City
Montclair
State
New Jersey
Zip
07042-4723
Phone Number
973-783-6655
Fax Number
973-233-1396
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
P00646 (New Jersey)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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