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NPI Code Detail

MEDICARE: MS. KLIDY VALDERRAMA

MEDICARE:  MS. KLIDY  VALDERRAMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor37LC00197600NJ
2101YM0800XMental Health Counselor44SC06669400NJ

General Provider Information

NPI Number : 1427983964
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KLIDY VALDERRAMA
Provider Business Mailing Address
First Line : 78 JOHN MILLER WAY STE 326
Second Line :
City : KEARNY
State : NJ
Zip : 07032-6533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 78 JOHN MILLER WAY STE 326
Second Line :
City : KEARNY
State : NJ
Zip : 07032-6533
Country : US
Telephone Number : 862-660-2033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/17/2026

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Directions to “ MS. KLIDY VALDERRAMA ” Practice Location

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