Individual provider · Type 1 NPI

Ishwari Store, MBA

Mental Health Counselor · Bridgewater, NJ

NPI number 1669864336 Active

Practice location

500 N Bridge St
Bridgewater, NJ 08807-2135

Fax (908) 704-1790

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669864336

Ishwari Store, MBA's National Provider Identifier is 1669864336, issued on Mar 4, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bridgewater, NJ. The record was last updated on Mar 4, 2015.