Provider Demographics
NPI:1033890660
Name:GEORGE, MAJIN (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MAJIN
Middle Name:
Last Name:GEORGE
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 BLOOMFIELD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7131
Mailing Address - Country:US
Mailing Address - Phone:973-453-0808
Mailing Address - Fax:
Practice Address - Street 1:1120 BLOOMFIELD AVE STE 200
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7131
Practice Address - Country:US
Practice Address - Phone:973-453-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00932100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty