Stephen Kwame Amabley

Individual provider Active NPI Mental Health Counselor · Beverly, NJ

NPI 1992249593 · NPPES record last updated Dec 15, 2016

Key facts

NPI
1992249593
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1306 Cooper St Apt 35
Beverly, NJ 08010-3007
Phone
(240) 755-3055
Fax
(609) 479-9986
NPI assigned
Dec 15, 2016
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1306 Cooper St Apt 35
Beverly, NJ 08010-3007

Mailing address

1306 Cooper St Apt 35
Beverly, NJ 08010-3007
Phone (240) 755-3055

Other providers in Beverly, NJ

All providers in Beverly, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.