Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | NJ |
NPI | 1003440637 |
---|---|
Provider Name | Regina Camille Howell |
First Address | Westampton, NJ 08060-3804 |
Second Address | Westampton, NJ 08060-3804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2020 |
Last Update Date | 21/02/2020 |