Individual provider · Type 1 NPI

Seraphim Chemodakov, MA LAC

Mental Health Counselor · East Brunswick, NJ

NPI number 1104397967 Active

Practice location

15 W Prospect St Ste 2
East Brunswick, NJ 08816-2161

Call (732) 254-0600 Map

Mailing address

32 Irene Blvd
Howell, NJ 07731-2417

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00445600 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1104397967

Seraphim Chemodakov, MA LAC's National Provider Identifier is 1104397967, issued on Dec 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Brunswick, NJ. The record was last updated on Dec 5, 2018.