Active NPIIndividual providerSole proprietor

Kathereen Pablo, LAC

Counselor, Mental Health in Mountainside, New Jersey

NPI Number1558190744
Practice location
1139 Spruce Dr Ste 2, Mountainside, NJ 07092-2221
Fax
908-731-7102
Last updated
October 24, 2024

Kathereen Pablo is a Counselor, Mental Health based in Mountainside, NJ. Kathereen Pablo practices in Mountainside, NJ and has the professional credentials of LAC. The NPI Number for Kathereen Pablo is 1558190744 and holds a License No. 37AC00790500 (NJ). The current practice location address for Kathereen Pablo is 1139 Spruce Dr Ste 2, Mountainside, NJ 07092-2221 and can be reached out via phone at 908-524-1587 and via fax at 908-731-7102.

Provider Profile Details

NPI Number
1558190744
Provider Name
Kathereen Pablo
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
1139 Spruce Dr Ste 2, Mountainside, NJ 07092-2221
Phone Number
908-524-1587
Fax Number
908-731-7102
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 29, 2024
Last Update Date
October 24, 2024
Certification Date
October 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1139 Spruce Dr Ste 2
Mountainside, NJ 07092-2221
Zip
07092-2221
Phone Number
908-524-1587
Fax Number
908-731-7102
Mountainside, NJ 07092Get directions →

Provider Business Mailing Address Details

Address
123 Belgrove Dr
Kearny, NJ 07032-1505
City
Kearny
State
NJ
Zip
07032-1505

License Information

License Number
37AC00790500
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 Kathereen Pablo, LAC?

The NPI number of Kathereen Pablo, LAC is 1558190744. It was assigned on July 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Kathereen Pablo, LAC?

Kathereen Pablo, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00790500.

Where does Kathereen Pablo, LAC practice?

The practice location is 1139 Spruce Dr Ste 2, Mountainside, NJ 07092-2221. The office can be reached at 908-524-1587 (phone) or 908-731-7102 (fax).

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 1558190744 directly on the NPPES registry website.

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