Provider Demographics
NPI:1497433015
Name:RAMBERT, YOLANDA (BA,MA,LPC)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:RAMBERT
Suffix:
Gender:F
Credentials:BA,MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 FORREST ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2206
Mailing Address - Country:US
Mailing Address - Phone:201-344-4251
Mailing Address - Fax:
Practice Address - Street 1:301 FORREST ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2206
Practice Address - Country:US
Practice Address - Phone:201-344-4251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00964900101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health