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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KONNIESHA M MOULTON, LMFT

Active Sole Proprietor

MS. KONNIESHA M MOULTON, LMFT is a Marriage & Family Therapist healthcare provider located in UPPER MONTCLAIR, New Jersey. NPI 1083126866 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · UPPER MONTCLAIR, NJ

Registration Details

NPI Number
1083126866
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2017 (8.7744756473721 yrs)
Last Updated
Nov 1, 2017
License
37FI00177900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
622-624 VALLEY RD STE 6D
UPPER MONTCLAIR, NJ, 070431462
Browse NJ providers · Browse ZIP 07043
Phone
8626210833
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in UPPER MONTCLAIR, NJ

Name Credential NPI
MS. VIRGINIA IVERSON MICHAELS LCSW 1255532362
WILLIAM R LUTZ JR. LMFT 1457687568
NEMESIS CORTRIGHT LAMFT 1851117808
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.