Mr. Ivan Thomas Smalls Jr.
Mr. Ivan Thomas Smalls Jr. is a Counselor in East Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.
- Licensed in
- NJ
- In the registry since
- 2022
- Specialties on file
- 6
Practice location Address checks out
86 S Harrison StEast Orange, NJ 07018-1748
Phone: (973) 324-7891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Counselor | Taxonomy 101Y00000X (NJ) |
| Behavior Analyst | Taxonomy 103K00000X |
| Social Worker | Taxonomy 104100000X |
| Clinical Social Worker | Taxonomy 1041C0700X |
Record details
| NPI number | 1780338699 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | February 9, 2022 |
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