Provider Demographics
NPI:1528826369
Name:KAMARA, MAFATTA N (LMFT)
Entity type:Individual
Prefix:
First Name:MAFATTA
Middle Name:N
Last Name:KAMARA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GLENWOOD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1041
Mailing Address - Country:US
Mailing Address - Phone:862-753-1250
Mailing Address - Fax:
Practice Address - Street 1:7 GLENWOOD AVE STE 101
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1041
Practice Address - Country:US
Practice Address - Phone:862-753-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00041900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist