Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 37LC00224700 | NJ |
Y | 101YP2500X | Professional Counselor | 37PC00511300 | NJ |
N | 101YS0200X | School Counselor | 823468 | NJ |
NPI | 1023400546 |
---|---|
Provider Name | Ms. Aynur Fox |
First Address | Jersey City, NJ 07302-6695 |
Second Address | Jersey City, NJ 07302-3929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2015 |
Last Update Date | 20/12/2020 |