Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor |
NPI | 1003470014 |
---|---|
Provider Name | Ms. Stella K Adjei |
First Address | Piscataway, NJ 08854-5250 |
Second Address | Piscataway, NJ 08854-5250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2019 |
Last Update Date | 11/06/2019 |