Healthcare Provider Details

I. General information

NPI: 1417598418
Provider Name (Legal Business Name): INTERNATIONAL ADVISERS CONSULTANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2019
Last Update Date: 09/02/2025
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 GRAND AVE # 1
NEWARK NJ
07106-1223
US

IV. Provider business mailing address

19 GRAND AVE # 1
NEWARK NJ
07106-1223
US

V. Phone/Fax

Practice location:
  • Phone: 732-874-0156
  • Fax:
Mailing address:
  • Phone: 732-874-0156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: NANTUME JANET KABANDA
Title or Position: SENIOR PASTOR / REVEREND
Credential: RELIGIOUS NON-MEDICA
Phone: 732-874-0156