NPI 1104651181

Ebony James Mines

Practitioner Marriage & Family Therapist Montclair, NJ

Practice location

Address: 460 Bloomfield Ave, Montclair, NJ 07042-3582
Phone: (732) 674-9857
Mailing address: 149 Katherine Ave, Clifton, NJ 07012-1136

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 37FA00047700 (NJ)

Other Marriage & Family Therapist providers in New Jersey →

Registry record

NPI: 1104651181
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2024
Record last updated: 7 Sep 2024

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.