Mary J Jose, LAC
Counselor, Mental Health in River Vale, New Jersey
1619625563- Practice location
- 619 Bernita Dr, River Vale, NJ 07675-5905
- Phone
- 732-689-0171
- Fax
- —
- Last updated
- March 10, 2022
Mary Jean Jose is a Counselor, Mental Health based in River Vale, NJ. Mary Jean Jose practices in River Vale, NJ and has the professional credentials of LAC. The NPI Number for Mary Jean Jose is 1619625563 and holds a License No. 37ac00490600 (NJ). The current practice location address for Mary Jean Jose is 619 Bernita Dr, River Vale, NJ 07675-5905 and can be reached out via phone at 732-689-0171.
Provider Profile Details
- NPI Number
- 1619625563
- Provider Name
- Mary Jean Jose
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 619 Bernita Dr, River Vale, NJ 07675-5905
- Phone Number
- 732-689-0171
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 10, 2022
- Last Update Date
- March 10, 2022
- Certification Date
- March 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 619 Bernita Dr
River Vale, NJ 07675-5905 - City
- River Vale
- State
- New Jersey
- Zip
- 07675-5905
- Phone Number
- 732-689-0171
Provider Business Mailing Address Details
- Address
- 619 Bernita Dr
River Vale, NJ 07675-5905 - City
- River Vale
- State
- NJ
- Zip
- 07675-5905
- Phone Number
- 732-689-0171
License Information
- License Number
- 37ac00490600
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mary J Jose, LAC?
The NPI number of Mary J Jose, LAC is 1619625563. It was assigned on March 10, 2022 and is currently active in the NPPES registry.
What is the specialty of Mary J Jose, LAC?
Mary J Jose, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37ac00490600.
Where does Mary J Jose, LAC practice?
The practice location is 619 Bernita Dr, River Vale, NJ 07675-5905. The office can be reached at 732-689-0171 (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 1619625563 directly on the NPPES registry website.