Provider Demographics
NPI:1518798081
Name:THORNTON, CIERA L
Entity type:Individual
Prefix:
First Name:CIERA
Middle Name:L
Last Name:THORNTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 REYNOLDS TER APT 1P
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-3336
Mailing Address - Country:US
Mailing Address - Phone:973-619-2594
Mailing Address - Fax:
Practice Address - Street 1:248 REYNOLDS TER APT 1P
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-3336
Practice Address - Country:US
Practice Address - Phone:973-619-2594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty