MEDICARE: NADIA HASSAN

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
1	101YM0800X	Mental Health Counselor	37AC00377500	NJ
2	101YS0200X	School Counselor	1031795	NJ
3	101YP2500X	Professional Counselor	37PC00747100	NJ

General Provider Information

NPI Number	:	1922507458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIA HASSAN

Provider Business Mailing Address
First Line	:	576 VALLEY RD # 263
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3526
Country	:	US
Telephone Number	:	973-692-6293
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 BARNERT AVE
Second Line	:
City	:	TOTOWA
State	:	NJ
Zip	:	07512-1640
Country	:	US
Telephone Number	:	973-652-4753
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2018
Last Update Date	:	04/15/2021

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Directions to “ NADIA HASSAN ” Practice Location

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