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

MARTHA GAVILANES-OSORIO, LMHC

Active Sole Proprietor

MARTHA GAVILANES-OSORIO, LMHC is a Mental Health Counselor healthcare provider located in BLOOMINGDALE, New Jersey. NPI 1407413321 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · BLOOMINGDALE, NJ

Registration Details

NPI Number
1407413321
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2019 (7.1809303317171 yrs)
Last Updated
Jun 16, 2022
Licenses
37PC00845400 (NJ)
009322-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
32 LAKESIDE AVE
BLOOMINGDALE, NJ, 074031341
Browse NJ providers · Browse ZIP 07403
Phone
2019264371
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
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.