Vida N Abbam-Keene
Individual provider Active NPI Mental Health Counselor · Westampton, NJ
NPI 1679194286 · NPPES record last updated May 5, 2020
Key facts
- NPI
- 1679194286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 770 Woodlane Rd
Westampton, NJ 08060-3804 - Phone
- (609) 267-5928
- NPI assigned
- May 5, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
770 Woodlane Rd
Westampton, NJ 08060-3804
Mailing address
770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928
Other providers in Westampton, NJ
- Gina Abate
- Jane-Roz Abbe
- Monica Abdalmessih
- Shadi Abdelmalak
- Emelene Abdul-Baky
- Sabreen Abdul-Raheem
All providers in Westampton, 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 May 5, 2020. 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.