Individual provider · Type 1 NPI

Eleonora Tavella, NCC, LAC

Mental Health Counselor · East Brunswick, NJ

NPI number 1134643307 Active

Practice location

15 W Prospect St
East Brunswick, NJ 08816-2161

Call (732) 254-0600 Map

Mailing address

41 Columbia Ave
Colonia, NJ 07067-2805

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00325200 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1134643307

Eleonora Tavella, NCC, LAC's National Provider Identifier is 1134643307, issued on Jul 31, 2017. 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 Jul 31, 2017.