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Organization
PERSON TO PERSON PSYCHOTHERAPY AND COUNSELING SERVICES
Active
Organization
PERSON TO PERSON PSYCHOTHERAPY AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FRUDAKIS - RUCKEL LCSW (OWNER)
(908) 224-0007
Entity
Organization
Contact information
Practice address
15 WEHRLI RD, LONG VALLEY, NJ 07853-3418
(908) 224-0007
Mailing address
15 WEHRLI RD, LONG VALLEY, NJ 07853-3418
(908) 224-0007
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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