Individual provider · Type 1 NPI

Shaquera Fowlkes

Mental Health Counselor · Montclair, NJ

NPI number 1972225977 Active

Practice location

41 Glenridge Ave Apt 2R
Montclair, NJ 07042-4741

Call (201) 704-7966 Map

Mailing address

125 Glenridge Ave Unit 1117
Montclair, NJ 07042-6842

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972225977

Shaquera Fowlkes's National Provider Identifier is 1972225977, issued on Sep 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Montclair, NJ. The record was last updated on Sep 15, 2022.