=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376209783
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JULIA ROSE HONIGFELD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2021
-----------------------------------------------------
Last Update Date | 11/10/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1919 KINGS HWY FL 2
-----------------------------------------------------
City | SWEDESBORO
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08085-1619
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-845-0336
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1569 WASHINGTON ST
-----------------------------------------------------
City | WEST DEPTFORD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08086-3086
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-284-7608
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 37AC00607300
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------