person
Timur Petrishin, PC
Professional Counselor in Fort Lee, New Jersey
NPI 1801521018

Timur Petrishin is a Professional Counselor based in Fort Lee, NJ and is specialized in Professional. Timur Petrishin practices in Fort Lee, NJ and has the professional credentials of PC. The NPI Number for Timur Petrishin is 1801521018 and holds a License No. 37PC00825100 (New Jersey).

The current practice location address for Timur Petrishin is 2185 Lemoine Ave Ste 1G, Fort Lee, NJ and can be reached out via phone at 877-959-8180 and via fax at 866-535-3188. You can also correspond with Timur Petrishin through the mailing address at 2185 LEMOINE AVE STE 1G, FORT LEE, NJ - 07024-6030 (mailing address contact number: 877-959-8180).

Location: 2185 Lemoine Ave Ste 1G, Fort Lee, NJ, 07024-6030
person
Provider Profile Details
NPI Number
1801521018
Provider Name
Timur Petrishin
Credential
PC
Provider Entity Type
Individual
Gender
Male
Address
2185 Lemoine Ave Ste 1G, Fort Lee, NJ, 07024-6030
Phone Number
877-959-8180
Fax Number
866-535-3188
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37PC00825100 01 NJ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2185 Lemoine Ave Ste 1G
City
State
Zip
07024-6030
Phone Number
877-959-8180
Fax Number
866-535-3188
person
Provider Business Mailing Address Details
Address
2185 Lemoine Ave Ste 1G
City
State
Zip
07024-6030
Phone Number
877-959-8180
Fax Number
866-535-3188
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37PC00825100 (New Jersey)
Definition
Definition to come...
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