Individual provider · Type 1 NPI
James W. Fay Iv, LPC
Professional Counselor · Bridgewater, NJ
NPI number
1003040312
Active
Practice location
1065 Rte 22, Suite 3 D
Bridgewater, NJ 08807-2949
Fax (908) 231-1115
Mailing address
273 Carlton Ave
Washington, NJ 07882-1213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | 37PC00423800 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1003040312
James W. Fay Iv, LPC's National Provider Identifier is 1003040312, issued on May 14, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgewater, NJ. The record was last updated on Jul 19, 2011.