Individual
INGRID VACA-BULLARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
428 FAIRVIEW AVE, MIDDLESEX, NJ 08846-1834
(973) 586-5243
Mailing address
428 FAIRVIEW AVE, MIDDLESEX, NJ 08846-1834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00327800
NJ
Other
Enumeration date
01/02/2012
Last updated
11/30/2013
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