Provider Demographics
NPI:1124575089
Name:CUEVAS, CIERA JASMINE (LPC)
Entity Type:Individual
Prefix:
First Name:CIERA
Middle Name:JASMINE
Last Name:CUEVAS
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 1:810 GARNET DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4715
Mailing Address - Country:US
Mailing Address - Phone:609-326-3397
Mailing Address - Fax:
Practice Address - Street 1:810 GARNET DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4715
Practice Address - Country:US
Practice Address - Phone:609-954-6744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2022-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00762100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional