Annan, Marie Sheila

Annan, Marie Sheila is an individual health care provider with primary practice located at 185 S Orange Ave , Newark NJ 07103-2757. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Annan, Marie Sheila can be contacted via phone (973) 972-3637.

Contact Information

Primary practice address
185 S Orange Ave Newark NJ 07103-2757
Phone: (973) 972-3637
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00708400 New Jersey

Profile Details

NPI number 1124620570
LBN Legal business name Annan, Marie Sheila
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2020
Last updated Nov 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124620570 NPPES
New Jersey MEDICAID 37PC00708400

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