Jennifer J Victoria-Proano, MA, LAC, CBIS

NPI #1215293576 in Fair Lawn, New Jersey

Provider Information

NPI Number: 1215293576
Entity Type: Individual
Name: Jennifer J Victoria-Proano, MA, LAC, CBIS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MA, LAC, CBIS
Enumeration Date: Apr 11, 2012
Last Updated: Apr 11, 2012

Practice Location

Address: 18-01 POLLITT DRIVE SUITE 1A
City: Fair Lawn
State: New Jersey
ZIP Code: 07410
Phone: (201) 478-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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