Michelle L Borrero

Individual provider Active NPI Marriage & Family Therapist · Clementon, NJ

NPI 1083348601 · NPPES record last updated Jul 11, 2022

Key facts

NPI
1083348601
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
37FI00208100 (NJ)
Practice address
1387 Chews Landing Rd
Clementon, NJ 08021-2760
Phone
(855) 760-2933
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37FI00208100NJMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00208100 NJ Yes

Addresses

Primary practice location

1387 Chews Landing Rd
Clementon, NJ 08021-2760

Mailing address

32 Franklin Ave
Berlin, NJ 08009-9424

Other providers in Clementon, NJ

All providers in Clementon, NJ · Marriage & Family Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.