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

Timur Petrishin, PC

Individual provider Professional Counselor · NPI 1801521018

Timur Petrishin, PC is a Professional Counselor in Fort Lee, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022

Practice location Address checks out

2185 Lemoine Ave Ste 1G
Fort Lee, NJ 07024-6030
Phone: (877) 959-8180
Fax: (866) 535-3188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC00825100 (NJ)

Record details

NPI number1801521018
Entity typeIndividual (Type 1)
GenderMale
Credentials PC
Sole proprietorNo
NPI enumeratedJuly 21, 2022
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022
Mailing address2185 Lemoine Ave Ste 1g, Fort Lee, NJ 07024-6030

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