Jidvett Fabian
NPI #1871373381 in Clementon, New Jersey
Provider Information
- NPI Number
- 1871373381
- Entity Type
- Individual
- Name
- Jidvett Fabian
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 2, 2023
- Last Updated
- Oct 2, 2023
Practice Location
- Address
- 1809 BRAND AVE
- City
- Clementon
- State
- New Jersey
- ZIP Code
- 08021-4229
- Phone
- (347) 624-9984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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