Individual provider · Type 1 NPI

Sandy Ibrahim, LAC

Counselor · Edison, NJ

NPI number 1073085304 Active

Practice location

100 Metroplex Dr
Edison, NJ 08817-2684

Call (732) 235-8443 Map

Mailing address

671 Hoes Ln W
Piscataway, NJ 08854-8021

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00439800 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073085304

Sandy Ibrahim, LAC's National Provider Identifier is 1073085304, issued on Dec 27, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edison, NJ. The record was last updated on Dec 27, 2018.