Whalio Doctors

NPI 1013352012

Candice Claire Ebbesen, MAEDSMFT

Practitioner Marriage & Family Therapist Jersey City, NJ

Practice location

Address
104 Wayne St, Jersey City, NJ 07302-5573
Phone
(201) 780-0905
Fax
(973) 673-5782
Mailing address
395 S Center St, Orange, NJ 07050-3205

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 37F100175300 (NJ)

Registry record

NPI
1013352012
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 May 2013
Record last updated
7 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.