person
Edward Banasiak, PHD
Professional Counselor in Perth Amboy, New Jersey
NPI 1730399767

Edward Banasiak is a Professional Counselor based in Jackson, NJ and is specialized in Professional. Edward Banasiak practices in Perth Amboy, NJ and has the professional credentials of PHD. The NPI Number for Edward Banasiak is 1730399767 and holds a License No. 37PC00189600 (New Jersey).

The current practice location address for Edward Banasiak is 570 Lee St, Perth Amboy, NJ and can be reached out via phone at 732-442-1666.

Location: 570 Lee St, Perth Amboy, NJ, 08527-4051
person
Provider Profile Details
NPI Number
1730399767
Provider Name
Edward Banasiak
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
570 Lee St, Perth Amboy, NJ, 08527-4051
Phone Number
732-442-1666
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
570 Lee St
City
State
Zip
08861-3053
Phone Number
732-442-1666
Fax Number
person
Provider Business Mailing Address Details
Address
570 Lee St
City
State
Zip
08861-3053
Phone Number
732-442-1666
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37PC00189600 (New Jersey)
Definition
Definition to come...
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