Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMUR PETRISHIN, PC
ActiveTIMUR PETRISHIN, PC is a Professional Counselor healthcare provider located in FORT LEE, New Jersey. NPI 1801521018 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · FORT LEE, NJ
Registration Details
- NPI Number
- 1801521018
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2022 (4.0279637551618 yrs)
- Last Updated
- Jul 21, 2022
- License
-
37PC00825100 (NJ)
Practice Information
- Address
-
2185 LEMOINE AVE STE 1GFORT LEE, NJ, 070246030Browse NJ providers · Browse ZIP 07024
- Phone
- 8779598180
- Fax
- 8665353188
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in FORT LEE, NJ
| Name | Credential | NPI |
|---|---|---|
| CANDACE ANN BOLTUCH-FAGAN | LPC;LCADC | 1760577266 |
| IGOR BEREGNOI | PHD, L.P.C | 1669518924 |
| MS. LEYLA AMANDA MATA | M.A., ED.M, L.P.C. | 1366730970 |
| MS. LOURDES J MELENDEZ | LPC | 1851663868 |
| MS. ROSE MARJORIE JONES | LCSW-R | 1760059224 |
| LUDDY SERULLE | — | 1831954080 |
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.