Sandy Ibrahim, LAC

Counselor · Edison, NJ

Individual Active NPI

NPI number 1073085304

Practice location

100 Metroplex Dr
Edison, NJ 08817-2684
Phone
(732) 235-8443

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NPI record

NPI
1073085304
Entity type
Individual (Type 1)
Enumeration date
December 27, 2018
Last updated
December 27, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X 37AC00439800 NJ

Mailing address

671 Hoes Ln W
Piscataway, NJ 08854-8021

About Sandy Ibrahim

Sandy Ibrahim, LAC is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 100 Metroplex Dr, Edison, NJ 08817-2684. The NPI number 1073085304 was assigned on December 27, 2018 and the record was last updated on December 27, 2018.

Sandy Ibrahim lists a license in the registry: #37AC00439800 (NJ) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sandy Ibrahim, LAC?

The NPI number is 1073085304.

What is the phone number of Sandy Ibrahim?

The phone number listed for the practice location is (732) 235-8443.

Where is Sandy Ibrahim located?

100 Metroplex Dr, Edison, NJ 08817-2684.

What is the taxonomy code for Sandy Ibrahim?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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