Individual provider · Type 1 NPI
Mary Jean Jose, LAC
Mental Health Counselor · River Vale, NJ
NPI number
1619625563
Active
Practice location
619 Bernita Dr
River Vale, NJ 07675-5905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00490600 (NJ) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in River Vale
About NPI 1619625563
Mary Jean Jose, LAC's National Provider Identifier is 1619625563, issued on Mar 10, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in River Vale, NJ. The record was last updated on Mar 10, 2022.