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

MARIDEANNE BLOMGREN, LPC

Active Sole Proprietor

MARIDEANNE BLOMGREN, LPC is a Mental Health Counselor healthcare provider located in KENDALL PARK, New Jersey. NPI 1528033040 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · KENDALL PARK, NJ

Registration Details

NPI Number
1528033040
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2006 (20.461856801165 yrs)
Last Updated
Nov 8, 2012
License
PC 00003200 (NJ)
Sole Proprietor
Yes

Practice Information

Address
127 ANDOVER DR
KENDALL PARK, NJ, 088247026
Browse NJ providers · Browse ZIP 08824
Phone
7324227669
Primary Specialty
Mental Health Counselor
101YM0800X
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.