Individual provider · Type 1 NPI

Courtney Diana NG, LAX

Mental Health Counselor · Manalapan, NJ

NPI number 1053144725 Active

Practice location

500 Craig Rd Ste 102
Manalapan, NJ 07726-8748

Mailing address

16 Eisenhower Dr
Old Bridge, NJ 08857-3921

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00800300 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1053144725

Courtney Diana NG, LAX's National Provider Identifier is 1053144725, issued on Aug 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manalapan, NJ. The record was last updated on Aug 20, 2024.