Provider Demographics
NPI:1467973065
Name:JAMBOR HIER, KATHERINE GABRIELLA (LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:GABRIELLA
Last Name:JAMBOR HIER
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 1:21 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3561
Mailing Address - Country:US
Mailing Address - Phone:862-432-0048
Mailing Address - Fax:
Practice Address - Street 1:21 PHEASANT DR
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3561
Practice Address - Country:US
Practice Address - Phone:862-432-0048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00189400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional