institution
Daterra Psychotherapy And Wellness, Inc.
Professional Counselor in Newark, New Jersey
NPI 1467964734

Daterra Psychotherapy And Wellness, Inc. is a Professional Counselor based in West New York, NJ and is specialized in Professional. Daterra Psychotherapy And Wellness, Inc. practices in Newark, NJ. The NPI Number for Daterra Psychotherapy And Wellness, Inc. is 1467964734 and holds a License No. 007828-1 (New Jersey).

The current practice location address for Daterra Psychotherapy And Wellness, Inc. is 290 Ferry St Bsmt A2, Newark, NJ and can be reached out via phone at 917-459-2463.

Location: 290 Ferry St Bsmt A2, Newark, NJ, 07093-1583
institution
Provider Profile Details
NPI Number
1467964734
Provider Name
Daterra Psychotherapy And Wellness, Inc.
Credential
Provider Entity Type
Organization
Address
290 Ferry St Bsmt A2, Newark, NJ, 07093-1583
Phone Number
917-459-2463
Fax Number
Provider Enumeration Date
10/26/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
290 Ferry St Bsmt A2
City
State
Zip
07105-3475
Phone Number
917-459-2463
Fax Number
person
Provider Business Mailing Address Details
Address
290 Ferry St Bsmt A2
City
State
Zip
07105-3475
Phone Number
917-459-2463
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37PC00598200 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
007828-1 (New York)
Definition
Definition to come...
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