Individual provider · Type 1 NPI

Gustavo Bernardo Mejia, MA, LPC, LCADC

Professional Counselor · Englewood, NJ

NPI number 1639295801 Active

Practice location

61 Grand Ave, 3rd Floor
Englewood, NJ 07631-3572

Call (201) 245-1159 Map

Fax (201) 541-8100

Mailing address

150 Tryon Ave Apt E1
Englewood, NJ 07631-1670

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC00396500 (NJ)
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00170800 (NJ)

Professional Counselor: Definition to come...

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About NPI 1639295801

Gustavo Bernardo Mejia, MA, LPC, LCADC's National Provider Identifier is 1639295801, issued on Mar 21, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Englewood, NJ. The record was last updated on Aug 28, 2011.