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Individual

REBECCA LOGUNOVSKIY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMHC

Contact information

Practice address
171 RIDGEDALE AVE STE J, FLORHAM PARK, NJ 07932-1764
(973) 515-1216
(973) 515-3108
Mailing address
171 RIDGEDALE AVE STE J, FLORHAM PARK, NJ 07932-1764
(973) 515-1216
(973) 515-3108

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005878
NY
101YP2500X
Professional Counselor
Primary
37PC00522600
NJ

Other

Enumeration date
11/20/2012
Last updated
05/30/2023
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