person
Imelda D. Mantilla, BA
Counselor in Clifton, New Jersey
NPI 1720598204

Imelda D. Mantilla is a Counselor based in Clifton, NJ. Imelda D. Mantilla practices in Clifton, NJ and has the professional credentials of BA. The NPI Number for Imelda D. Mantilla is 1720598204 and holds a License No. (New Jersey).

The current practice location address for Imelda D. Mantilla is 777 Bloomfield Ave, Clifton, NJ and can be reached out via phone at 973-594-0125 and via fax at 973-594-0536.

Location: 777 Bloomfield Ave, Clifton, NJ, 07012-1242
person
Provider Profile Details
NPI Number
1720598204
Provider Name
Imelda D. Mantilla
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
777 Bloomfield Ave, Clifton, NJ, 07012-1242
Phone Number
973-594-0125
Fax Number
973-594-0536
Provider Enumeration Date
10/10/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
777 Bloomfield Ave
City
State
Zip
07012-1242
Phone Number
973-594-0125
Fax Number
973-594-0536
person
Provider Business Mailing Address Details
Address
777 Bloomfield Ave
City
State
Zip
07012-1242
Phone Number
973-594-0125
Fax Number
973-594-0536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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