Blomgren, Marideanne

Blomgren, Marideanne is an sole proprietor health care provider with primary practice located at 127 Andover Dr , Kendall Park NJ 08824-7026. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blomgren, Marideanne can be contacted via phone (732) 422-7669.

Contact Information

Primary practice address
127 Andover Dr Kendall Park NJ 08824-7026
Phone: (732) 422-7669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC 00003200 New Jersey

Profile Details

NPI number 1528033040
LBN Legal business name Blomgren, Marideanne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2006
Last updated Nov 8th, 2012 - about 12 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.

Request for update

Popular Providers