Healthcare Provider Details

I. General information

NPI: 1457885915
Provider Name (Legal Business Name): RAQUEL CEDENO MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 STATE ROUTE 31 N
WASHINGTON NJ
07882-1550
US

IV. Provider business mailing address

250 STATE ROUTE 31 N
WASHINGTON NJ
07882-1550
US

V. Phone/Fax

Practice location:
  • Phone: 908-336-5552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00577300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: