Individual
HEATHER LYNNE GREULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
14 PARK AVE, CALDWELL, NJ 07006-4902
(973) 228-3000
Mailing address
14 FAWN LAKE RD, STOCKHOLM, NJ 07460-1425
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00141100
NJ
101YP2500X
Professional Counselor
Primary
37PC00357300
NJ
Other
Enumeration date
06/12/2011
Last updated
06/12/2011
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