Organization · Type 2 NPI

Avicenna Medical Group, LLC

Mental Health Counselor · West Orange, NJ

NPI number 1194067959 Active

About NPI 1194067959

Avicenna Medical Group, LLC's National Provider Identifier is 1194067959, issued on Mar 20, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Orange, NJ. The record was last updated on Mar 22, 2013.