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Organization
THERACORP, LLC
Active
Organization
THERACORP, LLC
Active
Other names
TheraCorp Therapeutic Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLA KRUTYANSKY MSW, LCSW (PRESIDENT)
(973) 207-6834
Entity
Organization
Contact information
Practice address
79 E RAILROAD AVE, JAMESBURG, NJ 08831-1207
(732) 561-8555
Mailing address
79 E RAILROAD AVE, JAMESBURG, NJ 08831-1207
(732) 561-8555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
101Y00000X
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
NJ
101YM0800X
Mental Health Counselor
101YM0800X
NJ
101YM0800X
Mental Health Counselor
104200000X
NJ
103T00000X
Psychologist
103T00000X
NJ
103TP0016X
Prescribing (Medical) Psychologist
103TP0016X
NJ
103TP2701X
Group Psychotherapy Psychologist
—
NJ
1041C0700X
Clinical Social Worker
Primary
1041X0700X
NJ
106H00000X
Marriage & Family Therapist
106H00000X
NJ
Other
Enumeration date
04/28/2017
Last updated
11/11/2021
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