What is James Kierstead's NPI number?

The NPI number assigned to this healthcare provider is 1700265550, enumerated as a individual on May 27, 2015.

Where is the provider located?

The provider is located at 16 POMPTON AVE POMPTON LAKES, NJ 07442 and the phone number is (973) 835-6337.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

JAMES KIERSTEAD - NPI 1700265550 - Counselor in Pompton Lakes, NJ

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About James Kierstead NPPES

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

JAMES KIERSTEAD (NPI 1700265550) is an individual counselor in Pompton Lakes, New Jersey, licensed in New Jersey (37AC00122500) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1700265550

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJAMES KIERSTEAD

Location Address16 POMPTON AVEPompton Lakes, NJ 07442-1895

Mailing AddressPo Box 326Franklin Lakes, NJ 07417-0326

Phone(973) 835-6337

Sole ProprietorYes

Enumeration DateMay 27, 2015

✔ NPI 1700265550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NJ · 37AC00122500

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

16 POMPTON AVE, Pompton Lakes, NJ 07442

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