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NPI Code Detail

MEDICARE: ERIKA VALLILA LPC

MEDICARE: ERIKA VALLILA LPC
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
1101Y00000XCounselor37PC00743500NJ

General Provider Information

NPI Number : 1912575465
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA VALLILA LPC
Provider Business Mailing Address
First Line : 1601 HAMILTON ST
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-5346
Country : US
Telephone Number : 201-788-1371
Fax Number :
Provider Business Practice Location Address
First Line : 1601 HAMILTON ST
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-5346
Country : US
Telephone Number : 201-788-1371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 06/11/2021

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Directions to “ ERIKA VALLILA LPC” Practice Location

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