Danice C. Banda, LPC

Individual provider Active NPI Professional Counselor · Princeton, NJ

NPI 1619344504 · NPPES record last updated Sep 12, 2023

Key facts

NPI
1619344504
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC00372400 (NJ)
Practice address
4499 Route 27 Ste 1
Princeton, NJ 08540-8717
Phone
(732) 864-4418
NPI assigned
Aug 26, 2015
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
37PC00372400NJMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00372400 NJ Yes

Addresses

Primary practice location

4499 Route 27 Ste 1
Princeton, NJ 08540-8717

Mailing address

4499 Route 27 Ste 1
Princeton, NJ 08540-8717
Phone (732) 864-4418

Other providers in Princeton, NJ

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

Sources for this page

Verify at the official NPI Registry.