Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Imelda D. Mantilla, BA

Individual provider Counselor · NPI 1720598204

Imelda D. Mantilla, BA is a Counselor in Clifton, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

777 Bloomfield Ave
Clifton, NJ 07012-1242
Phone: (973) 594-0125
Fax: (973) 594-0536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (NJ)

Record details

NPI number1720598204
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorYes
NPI enumeratedOctober 10, 2017
Last updated in NPPESOctober 10, 2017

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