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NPI Code Detail

MEDICARE: JULIO INIGUEZ LMFT

MEDICARE: JULIO INIGUEZ LMFT
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) CounselorG 130804OR
2101YM0800XMental Health Counselor
3106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1568870780
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIO INIGUEZ LMFT
Provider Business Mailing Address
First Line : 14 MUNN ST # B
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-3404
Country : US
Telephone Number : 503-803-2678
Fax Number :
Provider Business Practice Location Address
First Line : 1285 BROAD ST
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3045
Country : US
Telephone Number : 503-803-2678
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2014
Last Update Date : 06/19/2025

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