Individual provider · Type 1 NPI

Ellyn Alfonso, MA, LAC

Mental Health Counselor · Fair Lawn, NJ

NPI number 1669961553 Active

Practice location

17-07 Romaine St
Fair Lawn, NJ 07410-2150

Mailing address

54 Clifton Blvd
Clifton, NJ 07011-3814

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00262300 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1669961553

Ellyn Alfonso, MA, LAC's National Provider Identifier is 1669961553, issued on May 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fair Lawn, NJ. The record was last updated on May 7, 2018.