Provider Demographics
NPI:1154646750
Name:FIGUEIREDO-JOHANNS, CARLA S (MA, LPC)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:S
Last Name:FIGUEIREDO-JOHANNS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-1314
Mailing Address - Country:US
Mailing Address - Phone:973-792-5742
Mailing Address - Fax:973-792-5763
Practice Address - Street 1:520 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1314
Practice Address - Country:US
Practice Address - Phone:973-792-5742
Practice Address - Fax:973-792-5763
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00405300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional