MARIDEANNE BLOMGREN LPC
NPI 1528033040
Counselor - Mental Health in Kendall Park, NJ
Active since February 19, 2006
About Marideanne Blomgren Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIDEANNE BLOMGREN LPC (NPI 1528033040) is an individual mental health provider in Kendall Park, New Jersey, licensed in New Jersey (PC 00003200) and active in the NPI registry since February 2006.
NPPES Registry Identity
NPI1528033040
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIDEANNE BLOMGRENCredential: LPC
Location Address127 ANDOVER DRKendall Park, NJ 08824-7026
Mailing Address127 Andover DrKendall Park, NJ 08824-7026 · (732) 422-7669
Phone(732) 422-7669
Sole ProprietorYes
Enumeration DateFebruary 19, 2006
Last NPPES UpdateNovember 8, 2012
✔ NPI 1528033040 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 · PC 00003200
127 ANDOVER DR, Kendall Park, NJ 08824
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528033040, enumerated as an "individual" on February 19, 2006.
The provider is located at 127 ANDOVER DR KENDALL PARK, NJ 08824 and the phone number is (732) 422-7669.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
