Organization · Type 2 NPI

Daterra Psychotherapy and Wellness, Inc.

Professional Counselor · Newark, NJ

NPI number 1467964734 Active

Practice location

290 Ferry St Bsmt A2
Newark, NJ 07105-3475

Call (917) 459-2463 Map

Mailing address

5808 Washington St Apt 305
West New York, NJ 07093-1583

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X007828-1 (NY)
Professional Counselor Primary 101YP2500X37PC00598200 (NJ)

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About NPI 1467964734

Daterra Psychotherapy and Wellness, Inc.'s National Provider Identifier is 1467964734, issued on Oct 26, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newark, NJ. The record was last updated on Oct 26, 2017.