Provider Information for 1568059038
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JAMES JOSEPH CORDIANO Jr. LMHC
Sex: Male
NPI: 1568059038
Last Updated: 2020-12-30
Certification Date: 2020-12-30
Certification Date: 2020-12-30
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568059038 | ||||||||
| Enumeration Date | 2020-12-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11886 42ND RD N WEST PALM BEACH, FL 33411-9119 United States Phone: 609-532-8890 | Fax: | ||||||||
| Primary Practice Address | 11886 42ND RD N WEST PALM BEACH, FL 33411-9119 United States Phone: 609-532-8890 | Fax: | ||||||||
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