Provider Demographics
NPI:1124468301
Name:JAMES, MOSES L III (LPC)
Entity type:Individual
Prefix:DR
First Name:MOSES
Middle Name:L
Last Name:JAMES
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 AMBOY AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2870
Mailing Address - Country:US
Mailing Address - Phone:201-450-6744
Mailing Address - Fax:201-604-7035
Practice Address - Street 1:1036 AMBOY AVE STE 1
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-2870
Practice Address - Country:US
Practice Address - Phone:201-450-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00458300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional