Stern, Evan
Stern, Evan is an sole proprietor health care provider with primary practice located at 112 Columbia St , Wood Ridge NJ 07075-2406. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Stern, Evan can be contacted via phone (914) 257-7886.Contact Information
Primary practice address
112 Columbia St
Wood Ridge NJ 07075-2406
Phone: (914) 257-7886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 001747 | New York |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00879400 | New Jersey |
Profile Details
| NPI number | 1457715526 |
|---|---|
| LBN Legal business name | Stern, Evan |
| Credentials | MS, LMHC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2016 |
| Last updated | Mar 9th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457715526 | NPPES |
| New York | Other | 001747 | LICENSED MENTAL HEALTH COUNSELOR |
| New York | Other | 37PC00879400 | LICENSED MENTAL HEALTH COUNSELOR |
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