Individual provider · Type 1 NPI
Tania Mboge
Mental Health Counselor · Edgewater Park, NJ
NPI number
1679019830
Active
Practice location
227 Ivy Rd
Edgewater Park, NJ 08010-2618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1679019830
Tania Mboge's National Provider Identifier is 1679019830, issued on Jan 12, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edgewater Park, NJ. The record was last updated on Jan 12, 2017.