Individual provider · Type 1 NPI

Dov Waidenbaum, LPC

Professional Counselor · Lakewood, NJ

NPI number 1477046381 Active

Practice location

60 Canary Dr
Lakewood, NJ 08701-5455

Call (732) 942-4669 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00577400 (NJ)

Professional Counselor: Definition to come...

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About NPI 1477046381

Dov Waidenbaum, LPC's National Provider Identifier is 1477046381, issued on Jun 14, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lakewood, NJ. The record was last updated on Jun 14, 2018.