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NPI Code Detail

MEDICARE: ESTANIA NOEL LPC

MEDICARE: ESTANIA NOEL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37PC00534500NJ

General Provider Information

NPI Number : 1114390135
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTANIA NOEL LPC
Provider Business Mailing Address
First Line : 1022 HAMBURG TPKE
Second Line :
City : WAYNE
State : NJ
Zip : 07470-3209
Country : US
Telephone Number : 973-694-1234
Fax Number : 973-633-0992
Provider Business Practice Location Address
First Line : 1022 HAMBURG TPKE
Second Line :
City : WAYNE
State : NJ
Zip : 07470-3209
Country : US
Telephone Number : 973-694-1234
Fax Number : 973-633-0992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2015
Last Update Date : 06/19/2026

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Directions to “ ESTANIA NOEL LPC” Practice Location

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