Provider Demographics
NPI:1063958783
Name:HOUNTONDJI, AUBIN
Entity type:Individual
Prefix:
First Name:AUBIN
Middle Name:
Last Name:HOUNTONDJI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 LAUREL RD
Mailing Address - Street 2:AE261
Mailing Address - City:LINDENWOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-5965
Mailing Address - Country:US
Mailing Address - Phone:856-534-0209
Mailing Address - Fax:
Practice Address - Street 1:1990 LAUREL RD
Practice Address - Street 2:AE261
Practice Address - City:LINDENWOLD
Practice Address - State:NJ
Practice Address - Zip Code:08021-5965
Practice Address - Country:US
Practice Address - Phone:856-534-0209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health