Individual provider · Type 1 NPI

Tina Beatrice Bubb, MA, LAC

Mental Health Counselor · Elizabeth, NJ

NPI number 1689217655 Active

Practice location

1139 E Jersey St Ste 417
Elizabeth, NJ 07201-2446

Call (908) 622-3200 Map

Fax (908) 622-3202

Mailing address

167 Monticello Ave Apt 5
Jersey City, NJ 07304-5524

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00475900 (NJ)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1689217655

Tina Beatrice Bubb, MA, LAC's National Provider Identifier is 1689217655, issued on Oct 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Elizabeth, NJ. The record was last updated on Oct 23, 2019.