Individual
GLENN SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
31 TRINITY PL, MONTCLAIR, NJ 07042-2773
(973) 707-7003
Mailing address
31 TRINITY PL, MONTCLAIR, NJ 07042-2773
(973) 707-7003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00365900
NJ
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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