Individual provider · Type 1 NPI

Gracel Jerschina, LAC

Mental Health Counselor · Fair Lawn, NJ

NPI number 1417481730 Active

Practice location

22-08 Route 208, Suite 16
Fair Lawn, NJ 07410-2609

Mailing address

599 Broadway, Apt 6B
Paterson, NJ 07514-1969

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00337100 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1417481730

Gracel Jerschina, LAC's National Provider Identifier is 1417481730, issued on Apr 13, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fair Lawn, NJ. The record was last updated on Apr 13, 2017.