Individual
MARY REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
495 EDGEWOOD PL, RUTHERFORD, NJ 07070-2607
(908) 642-2383
Mailing address
495 EDGEWOOD PL, RUTHERFORD, NJ 07070-2607
(908) 642-2383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC003984000
NJ
Other
Enumeration date
12/18/2015
Last updated
02/02/2016
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