Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00304500 | NJ |
NPI | 1992992408 |
---|---|
Provider Name | Dr. Colleen Georges |
First Address | Piscataway, NJ 08854-2724 |
Second Address | Piscataway, NJ 08854-2724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2007 |
Last Update Date | 28/09/2007 |