Individual provider · Type 1 NPI

Jennifer J. Victoria-Proano, MA, LAC, CBIS

Counselor · Fair Lawn, NJ

NPI number 1215293576 Active

Practice location

18-01 Pollitt Drive Suite 1A
Fair Lawn, NJ 07410

Call (201) 478-4200 Map

Fax (201) 478-4202

Mailing address

18-01 Pollitt Dr Ste 1A
Fair Lawn, NJ 07410-2815

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00060900 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1215293576

Jennifer J. Victoria-Proano, MA, LAC, CBIS's National Provider Identifier is 1215293576, issued on Apr 11, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Apr 11, 2012.