Individual provider · Type 1 NPI

Amelo Bacchus, LAC

Mental Health Counselor · East Orange, NJ

NPI number 1205656402 Active

Practice location

67 Sanford St
East Orange, NJ 07018-1926

Fax (973) 673-5612

Mailing address

54 Polk St Apt O3
Newark, NJ 07105-2880

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00826000 (NJ)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1205656402

Amelo Bacchus, LAC's National Provider Identifier is 1205656402, issued on Oct 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Orange, NJ. The record was last updated on Oct 12, 2024.