Individual provider · Type 1 NPI
Erika Kislyanov, LPC
Professional Counselor · Nutley, NJ
NPI number
1619776085
Active
Practice location
689 Bloomfield Ave
Nutley, NJ 07110-1004
Mailing address
525 Route 73 N Ste 104
Marlton, NJ 08053-3422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00637800 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1619776085
Erika Kislyanov, LPC's National Provider Identifier is 1619776085, issued on Mar 10, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nutley, NJ. The record was last updated on Mar 10, 2025.