Irene Maria Batista, LPC

Individual provider Active NPI Mental Health Counselor · Matawan, NJ

NPI 1306180914 · NPPES record last updated Apr 29, 2015

Key facts

NPI
1306180914
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
37PC00501000 (NJ)
Practice address
166 Main St
Matawan, NJ 07747-3104
Phone
(732) 290-9040
Fax
(732) 566-0433
NPI assigned
Nov 20, 2012
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
37PC00501000NJMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00501000 NJ Yes

Addresses

Primary practice location

166 Main St
Matawan, NJ 07747-3104

Mailing address

166 Main St
Matawan, NJ 07747-3104
Phone (732) 290-9040

Other providers in Matawan, NJ

All providers in Matawan, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.