Individual
KATIE-ANN L MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1124 US HIGHWAY 202 STE B10, RARITAN, NJ 08869-1463
(908) 977-1650
Mailing address
1124 US HIGHWAY 202 STE B10, RARITAN, NJ 08869-1463
(908) 977-1650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00762200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC00762200
LPC LICENSE NUMBER
NJ
Enumeration date
04/21/2021
Last updated
04/21/2021
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