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YESSE ALEXANDRA PUELLO LAC
NPI 1063177194
Counselor - Mental Health in East Orange, NJ

Active since November 03, 2021
7 GLENWOOD AVE STE 106, EAST ORANGE, NJ 07017(201) 306-3549 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2023, Nov 3, 2021 (2 updates tracked since 2021).

About Yesse Alexandra Puello Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YESSE ALEXANDRA PUELLO LAC (NPI 1063177194) is an individual mental health provider in East Orange, New Jersey, licensed in New Jersey (37AC00512200) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1063177194
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameYESSE ALEXANDRA PUELLOCredential: LAC
Location Address7 GLENWOOD AVE STE 106East Orange, NJ 07017-1041
Mailing Address53 Homestead ParkNewark, NJ 07108-1213 · (862) 888-4276
Phone(201) 306-3549
Sole ProprietorYes
Enumeration DateNovember 3, 2021
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1063177194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00512200
7 GLENWOOD AVE STE 106, East Orange, NJ 07017
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yesse Puello's NPI number?

The NPI number for Yesse Puello is 1063177194. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Yesse Puello located?

Yesse Puello practices at 7 Glenwood Ave Ste 106, East Orange, NJ 07017. The listed phone number is (201) 306-3549.

What is Yesse Puello's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Yesse Puello was last updated on January 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.