Provider Demographics
NPI:1437842564
Name:ONGOCO-KAMHI, MARIA A (MS, CRC, LAC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:A
Last Name:ONGOCO-KAMHI
Suffix:
Gender:F
Credentials:MS, CRC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HAY AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1908
Mailing Address - Country:US
Mailing Address - Phone:201-290-9928
Mailing Address - Fax:
Practice Address - Street 1:36 HAY AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1908
Practice Address - Country:US
Practice Address - Phone:201-290-9928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health