Healthcare Provider Details

I. General information

NPI: 1083565741
Provider Name (Legal Business Name): CHRISTIAN MURIEL MA, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 KENNEDY BLVD STE 4W
NORTH BERGEN NJ
07047-5345
US

IV. Provider business mailing address

8901 KENNEDY BLVD STE 4W
NORTH BERGEN NJ
07047-5345
US

V. Phone/Fax

Practice location:
  • Phone: 201-757-3800
  • Fax:
Mailing address:
  • Phone: 201-757-3800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01253800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: