| Doctor Name: | IVANA PAREJA |
| NPI Number: | 1154761450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EDS, LPC, LCADC |
| License Number: | 37LC00158900 |
| Business Practice Address: | 108 Straube Center Blvd Suite I-8c Pennington, NJ - 085341448 |
| Business Phone Number: | 7322078778 |
| Business Fax Number: | |
| Mailing Address: | 108 Straube Center Blvd, Suite I-8c PENNINGTON |
| State: | NJ |
| Postal Code: | 085341448 |
| Phone Number: | 7322078778 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2013 |
| NPI Last Update Date: | 07/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00158900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |