Maria Ysabel De Los Angeles
Individual provider Active NPI Mental Health Counselor · East Brunswick, NJ
NPI 1780442129 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1780442129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37AC00761600 (NJ)
- Practice address
- 190 Highway 18 Ste 304
East Brunswick, NJ 08816-1407 - Phone
- (732) 333-8520
- NPI assigned
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00761600 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Freeman'S Place Counseling LLC | Current |
Accepting new patients | |
| A Freeman'S Place Counseling | Current |
Accepting new patients |
Locations
190 Route 18
Ste 304
East Brunswick, NJ 08816
Phone (732) 333-8520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00761600 | NJ | Yes |
Addresses
Primary practice location
190 Highway 18 Ste 304
East Brunswick, NJ 08816-1407
Mailing address
190 Highway 18 Ste 304
East Brunswick, NJ 08816-1407
Phone (732) 333-8520
Other providers in East Brunswick, NJ
- Lily Davenport
- David J. Ernst DDS PA
- Neena David
- Jocelyn Susan Davis
- Michele Davis
- Lauren Danielle De Mars
- Alison Dealmeida
- Lynn Dorothy Dean
- Chloe Decker
- Angela Decristofano
All providers in East Brunswick, 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 Mar 11, 2024. 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.