person
Gustavo Bernardo Mejia, MA,LPC,LCADC
Addiction (Substance Use Disorder) Counselor in Englewood, New Jersey
NPI 1639295801

Gustavo Bernardo Mejia is an Addiction (Substance Use Disorder) Counselor based in Englewood, NJ and is specialized in Addiction (Substance Use Disorder). Gustavo Bernardo Mejia practices in Englewood, NJ and has the professional credentials of MA,LPC,LCADC. The NPI Number for Gustavo Bernardo Mejia is 1639295801 and holds a License No. 37PC00396500 (New Jersey).

The current practice location address for Gustavo Bernardo Mejia is 61 Grand Ave, Englewood, NJ and can be reached out via phone at 201-245-1159 and via fax at 201-541-8100. You can also correspond with Gustavo Bernardo Mejia through the mailing address at 150 TRYON AVE APT E1, ENGLEWOOD, NJ - 07631-1670 (mailing address contact number: 201-245-1159).

Location: 61 Grand Ave, Englewood, NJ, 07631-1670
person
Provider Profile Details
NPI Number
1639295801
Provider Name
Gustavo Bernardo Mejia
Credential
MA,LPC,LCADC
Provider Entity Type
Individual
Gender
Male
Address
61 Grand Ave, Englewood, NJ, 07631-1670
Phone Number
201-245-1159
Fax Number
201-541-8100
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12063531 01 CAQH
institution
Provider Business Practice Location Address Details
Address
61 Grand Ave
City
State
Zip
07631-3572
Phone Number
201-245-1159
Fax Number
201-541-8100
person
Provider Business Mailing Address Details
Address
150 Tryon Ave Apt E1
City
State
Zip
07631-1670
Phone Number
201-245-1159
Fax Number
201-541-8100
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37LC00170800 (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.
37PC00396500 (New Jersey)
Definition
Definition to come...
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