Individual provider · Type 1 NPI

Caitlyn Aimaa Fardella, LAC

Mental Health Counselor · Manalapan, NJ

NPI number 1376392415 Active

Practice location

100 Craig Rd Ste 220
Manalapan, NJ 07726-8731

Mailing address

277 Sunset Ave
Old Bridge, NJ 08857-1128

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00686700 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1376392415

Caitlyn Aimaa Fardella, LAC's National Provider Identifier is 1376392415, issued on May 13, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manalapan, NJ. The record was last updated on May 13, 2024.