Doctor Name: | MS. JUANA MARIA ZEGARRA |
NPI Number: | 1659601441 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05372100 |
Business Practice Address: | 899 Bayshore Rd Villas, NJ - 082512780 |
Business Phone Number: | 6098868666 |
Business Fax Number: | 6098869666 |
Mailing Address: | 899 Bayshore Rd, VILLAS |
State: | NJ |
Postal Code: | 082512780 |
Phone Number: | 6098868666 |
Fax Number: | 6098869666 |
NPI Enumeration Date: | 12/30/2009 |
NPI Last Update Date: | 12/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC05372100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |