Moulton, Marzanna

Moulton, Marzanna is an sole proprietor health care provider with primary practice located at 233 Mount Airy Rd , Basking Ridge NJ 07920-2338. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moulton, Marzanna can be contacted via phone (908) 350-3535.

Contact Information

Primary practice address
233 Mount Airy Rd Basking Ridge NJ 07920-2338
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1184070914
LBN Legal business name Moulton, Marzanna
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2016
Last updated Nov 25th, 2019 - about 5 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 1184070914 NPPES
New Jersey MEDICAID 0023701
New Jersey MEDICAID 7797403

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