Provider Demographics
NPI:1952945875
Name:QADEER BASILE, NADIA (LPC)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:QADEER BASILE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:QADEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:595 CHESTNUT RIDGE RD UNIT 41
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7663
Mailing Address - Country:US
Mailing Address - Phone:732-982-2888
Mailing Address - Fax:
Practice Address - Street 1:595 CHESTNUT RIDGE RD UNIT 41
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7663
Practice Address - Country:US
Practice Address - Phone:732-982-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00479800101YM0800X
NJ37PC00948800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health