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Contact Information

NANTUME KABANDA, SCC-C
19 GRAND AVE # 1
NEWARK, NJ07106-1223
 Phone: 732-874-0156
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pastoral

101YP1600X
 

Community Health

261QC1500X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for NANTUME KABANDA · (Female)

NPI # 1164048138
Status Active
Credentials SCC-C
Entity Individual
Enumeration date 06/24/2020
Last updated 05/22/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 397129034
  • NJ Medicaid NONE
  • Other 123070526901 AETNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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