Across the Bridge
Organization Active NPI Mental Health Counselor · Princeton, NJ
NPI 1326466541 · NPPES record last updated Apr 3, 2014
Key facts
- NPI
- 1326466541
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 44SC05369800 (NJ)
- Legal business name
- ACROSS THE BRIDGE
- Practice address
- 12 Roszel Rd
Suite a 103
Princeton, NJ 08540-6234 - Phone
- (609) 917-4011
- NPI assigned
- Apr 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Yuko Tanaka Inzana, LCSW
- Title
- Owner
- Phone
- (609) 917-4011
National Provider Directory
Locations
12 Roszel Rd
Ste A103
Princeton, NJ 08540
Phone (609) 419-0123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 44SC05369800 | NJ | Yes |
Addresses
Primary practice location
12 Roszel Rd
Suite a 103
Princeton, NJ 08540-6234
Mailing address
114 Clinton St
Lambertville, NJ 08530-1911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3912200000 | Other | NJ | MAGELLAN |
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All providers in Princeton, NJ · Mental Health 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 Apr 3, 2014. 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.