Provider Demographics
NPI:1073109989
Name:FINK, GABRIELLA (LPC)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BERGEN AVE
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1919
Mailing Address - Country:US
Mailing Address - Phone:201-230-9017
Mailing Address - Fax:
Practice Address - Street 1:30 BERGEN AVE
Practice Address - Street 2:
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1919
Practice Address - Country:US
Practice Address - Phone:201-230-9017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional