Provider Demographics
NPI:1366151300
Name:ARANGO, GLORIVEE CABAN (COUNSELOR)
Entity type:Individual
Prefix:
First Name:GLORIVEE
Middle Name:CABAN
Last Name:ARANGO
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CENTRE AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3215
Mailing Address - Country:US
Mailing Address - Phone:646-824-1344
Mailing Address - Fax:
Practice Address - Street 1:115 RIVER RD STE 118
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1009
Practice Address - Country:US
Practice Address - Phone:646-824-1344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00669000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional