MEDICARE: KELLY SANTANA MAJOCH

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	37AC00730700	NJ
2	101YM0800X	Mental Health Counselor	37PC01231300	NJ
3	374J00000X	Doula	9061	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9061	OTHER	NJ	DONA INTERNATIONAL
2	37PC01231300	OTHER	NJ	DCA
3	37AC00730700	OTHER	NJ	NJ OFFICE OF THE ATTORNEY GENERAL - DCA

General Provider Information

NPI Number	:	1952077281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY SANTANA MAJOCH

Provider Business Mailing Address
First Line	:	274 GROVE ST
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-4208
Country	:	US
Telephone Number	:	201-362-6955
Fax Number	:

Provider Business Practice Location Address
First Line	:	274 GROVE ST
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-4208
Country	:	US
Telephone Number	:	201-362-6955
Fax Number	:

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

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	03/23/2026

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Directions to “ KELLY SANTANA MAJOCH ” Practice Location

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