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

IMELDA D. MANTILLA, BA

Active Sole Proprietor

IMELDA D. MANTILLA, BA is a Counselor healthcare provider located in CLIFTON, New Jersey. NPI 1720598204 is currently active in the NPPES registry. Verify at CMS.

Counselor · CLIFTON, NJ

Registration Details

NPI Number
1720598204
Provider Type
Individual
Gender
Female
NPI Issued
Oct 10, 2017 (8.8117420983517 yrs)
Last Updated
Oct 10, 2017
Sole Proprietor
Yes

Practice Information

Address
777 BLOOMFIELD AVE
CLIFTON, NJ, 070121242
Browse NJ providers · Browse ZIP 07012
Phone
9735940125
Fax
9735940536
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in CLIFTON, NJ

Name Credential NPI
DR. KEM B LOUIE APN 1669442109
MS. CAROL ANDERSON BOYER 1366579401
MS. VANESSA ARIAS-MARTINEZ LAC 1972713717
ROSEANN MARTURANO 1427247485
PROF. MARCELA KEPICOVA LPC 1851697288
MRS. NICOLE MCLAUGHLIN MA/EDS 1205236361
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.