Individual provider · Type 1 NPI

Angie Ebraheem, MA, LAC

Mental Health Counselor · Jersey City, NJ

NPI number 1164259503 Active

Practice location

179 Palisade Ave
Jersey City, NJ 07306-1103

Mailing address

176 Palisade Ave
Jersey City, NJ 07306-1196

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00817900 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1164259503

Angie Ebraheem, MA, LAC's National Provider Identifier is 1164259503, issued on Sep 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jersey City, NJ. The record was last updated on Sep 18, 2024.