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

AVICENNA MEDICAL GROUP, LLC

Active Organization

AVICENNA MEDICAL GROUP, LLC is a Mental Health Counselor organization located in WEST ORANGE, New Jersey. NPI 1194067959 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · WEST ORANGE, NJ

Registration Details

NPI Number
1194067959
Provider Type
Organization
NPI Issued
Mar 20, 2013 (13.358554233078 yrs)
Last Updated
Mar 22, 2013
License
25MB07627000 (NJ)

Practice Information

Address
414 EAGLE ROCK AVE
SUITE 307
WEST ORANGE, NJ, 070524224
Browse NJ providers · Browse ZIP 07052
Phone
6464643110
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Organizations in WEST ORANGE, NJ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.