Khrystyne Ann Acevedo, LPC

Individual provider Active NPI Professional Counselor · Paramus, NJ

NPI 1336682012 · NPPES record last updated Nov 29, 2016

Key facts

NPI
1336682012
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC00572400 (NJ)
Practice address
610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone
(201) 478-4162
NPI assigned
Nov 29, 2016
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
37PC00572400NJMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00572400 NJ Yes

Addresses

Primary practice location

610 Valley Health PLZ
Paramus, NJ 07652-3607

Mailing address

610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone (201) 478-4162

Other providers in Paramus, NJ

All providers in Paramus, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.