Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00461500 | NJ |
NPI | 1003259110 |
---|---|
Provider Name | Ms. Dashua Unita Hinton |
First Address | Edison, NJ 08820-1590 |
Second Address | Piscataway, NJ 08854-8021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 09/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
#31-4011 | UBHC MEDICARE (01) | NJ |
#4144007 | UBHC MEDICAID (01) | NJ |