IndividualActive
Miguel Fajardo
NPI 1124630348 · Pastoral Counselor · Hawthorne, NJ
Provider details
- NPI number
- 1124630348
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
89 3rd Ave
Hawthorne, NJ 07506-2413
Registry dates
- Enumerated
- 2020-08-19
- Last updated
- 2020-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.