Individual provider · Type 1 NPI

Rene Bavosa

Professional Counselor · Annandale, NJ

NPI number 1114795358 Active

Practice location

60 Westgate Dr
Annandale, NJ 08801-1653

Mailing address

17 Reaville Ave # 1123
Flemington, NJ 08822-1714

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1114795358

Rene Bavosa's National Provider Identifier is 1114795358, issued on Dec 18, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Annandale, NJ. The record was last updated on Sep 21, 2026.