Provider Demographics
NPI:1508226945
Name:MONTERREY, JUSSETY VANESSA (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:JUSSETY
Middle Name:VANESSA
Last Name:MONTERREY
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 CHESTNUT ST UNIT 409
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-7013
Mailing Address - Country:US
Mailing Address - Phone:973-241-3868
Mailing Address - Fax:
Practice Address - Street 1:1199 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2807
Practice Address - Country:US
Practice Address - Phone:973-241-3868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-27
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009748101YM0800X
FLTPMC3014101YM0800X
NJ37PC00744300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health