Provider Demographics
NPI:1841787900
Name:FURNISS, MAGDALENA (LPC)
Entity Type:Individual
Prefix:
First Name:MAGDALENA
Middle Name:
Last Name:FURNISS
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 1:44 WIGGINS ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6935
Mailing Address - Country:US
Mailing Address - Phone:848-228-1568
Mailing Address - Fax:
Practice Address - Street 1:20 NASSAU ST STE 226
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-4505
Practice Address - Country:US
Practice Address - Phone:848-228-1568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00620600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional