Supernova Counseling LLC
NPI #1396546792 in Montclair, New Jersey
Provider Information
- NPI Number
- 1396546792
- Entity Type
- Organization
- Organization Name
- Supernova Counseling LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 21, 2025
- Last Updated
- Mar 21, 2025
Practice Location
- Address
- 41 WATCHUNG PLZ STE 155
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-4117
- Phone
- (786) 475-5468
Authorized Official
- Name
- JODI THOMAS, MD
- Title
- OWNER
- Phone
- (786) 475-5468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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