Individual provider · Type 1 NPI
Emmett Charles Line, LAC
Mental Health Counselor · Demarest, NJ
NPI number
1881407047
Active
Practice location
37 Brookside Ave
Demarest, NJ 07627-2005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00559100 (NJ) |
Mental Health Counselor: Definition to come...
About NPI 1881407047
Emmett Charles Line, LAC's National Provider Identifier is 1881407047, issued on Jan 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Demarest, NJ. The record was last updated on Jan 30, 2025.