Individual
RAE ANN KOTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC
Contact information
Practice address
1000 AIRPORT RD STE 205, LAKEWOOD, NJ 08701-5960
(866) 625-4740
Mailing address
1001 3RD ST, BADEN, PA 15005-1301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC014881
PA
101YP2500X
Professional Counselor
Primary
PC014881
PA
Other
Enumeration date
07/06/2020
Last updated
09/11/2024
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