Miguel Fajardo
Individual provider Active NPI Pastoral Counselor · Hawthorne, NJ
NPI 1124630348 · NPPES record last updated Aug 19, 2020
Key facts
- NPI
- 1124630348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pastoral Counselor 101YP1600X
- Practice address
- 89 3Rd Ave
Hawthorne, NJ 07506-2413 - Phone
- (862) 571-0274
- NPI assigned
- Aug 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor |
101YP1600X | Yes |
Addresses
Primary practice location
89 3Rd Ave
Hawthorne, NJ 07506-2413
Mailing address
89 3Rd Ave
Hawthorne, NJ 07506-2413
Phone (862) 571-0274
Other providers in Hawthorne, NJ
- Eastern Christian Children'S Retreat
- Eastern Christian Children'S Retreat
- Eastern Christian Children'S Retreat
- Beatriz Escudero
- Lorenza Fajardo
- Families and Communities United
- Family Practice Medical Associates
- Ellen Jo Fasanaro
- Alyson Denise Flaker
- Fontanarosa Chiropractic Inc
All providers in Hawthorne, NJ · Pastoral Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.