Rebeca Alcantara, LAMFT

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

NPI 1447924006 · NPPES record last updated Aug 5, 2021

Key facts

NPI
1447924006
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
37FA00022800 (NJ)
Practice address
66 Park St Ste 104
Montclair, NJ 07042-2988
Phone
(917) 464-5272
NPI assigned
Aug 5, 2021
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
37FA00022800NJMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FA00022800 NJ Yes

Addresses

Primary practice location

66 Park St Ste 104
Montclair, NJ 07042-2988

Mailing address

1508 W 7TH St
Piscataway, NJ 08854-1604
Phone (908) 208-8556

Other providers in Montclair, NJ

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

Sources for this page

Verify at the official NPI Registry.