Individual provider · Type 1 NPI

Corryn Defazio

Mental Health Counselor · Hoboken, NJ

NPI number 1023835121 Active

Practice location

258 Newark St Ste 205
Hoboken, NJ 07030-3418

Call (908) 975-1853 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00755700 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1023835121

Corryn Defazio's National Provider Identifier is 1023835121, issued on Sep 21, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hoboken, NJ. The record was last updated on Sep 21, 2024.