Ida Vernelius Davistyson
Ida Vernelius Davistyson is a Mental Health Counselor in Matawan, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
166 Main StMatawan, NJ 07747-3104
Phone: (732) 290-9040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1669113361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 5, 2022 |
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Julia Cunningham
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Gabrielle J Davis, LAC, NCC
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MS. Kelly Anne Davis, MA, LAC
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Mark Degrandis
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