Individual provider · Type 1 NPI

Jidvett Fabian

Mental Health Counselor · Clementon, NJ

NPI number 1871373381 Active

Practice location

1809 Brand Ave
Clementon, NJ 08021-4229

Call (347) 624-9984 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1871373381

Jidvett Fabian's National Provider Identifier is 1871373381, issued on Oct 2, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clementon, NJ. The record was last updated on Oct 2, 2023.