Provider Demographics
NPI:1265186506
Name:BILLAN, MARTA (LPC, NCC)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:BILLAN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 S LIVINGSTON AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3071
Mailing Address - Country:US
Mailing Address - Phone:347-551-4183
Mailing Address - Fax:
Practice Address - Street 1:160 S LIVINGSTON AVE STE 113
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3071
Practice Address - Country:US
Practice Address - Phone:347-551-4183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00807400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health