James W Fay IV, LPC

NPI #1003040312 in Bridgewater, New Jersey

Provider Information

NPI Number
1003040312
Entity Type
Individual
Name
James W Fay IV, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
May 14, 2009
Last Updated
Jul 19, 2011

Practice Location

Address
1065 RTE 22
Address 2
SUITE 3 D
ZIP Code
08807-2949
Phone
(908) 231-0511

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Counselor - ProfessionalProfessional

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