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General NPI Number Information
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NPI Number | 1538697073
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Entity Type | Individual
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Provider Name | GRACE JOHANNA MONTES MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2017
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Last Update Date | 04/03/2021
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Provider Practice Location Address
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Address Line | 220 LENOX AVE STE OFFICE5
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City | WESTFIELD
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State | NJ
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Zip | 07090-5101
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Country | US
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Telephone | 908-543-9100
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Fax | 201-624-7846
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Provider Business Mailing Address
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Address Line | 154 CHILTON ST
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City | ELIZABETH
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State | NJ
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Zip | 07202-1448
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Country | US
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Telephone | 908-230-3999
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 37PC00556100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00556100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00556100
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License Number State | NJ
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