Individual
MARISA K LLORET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
280 NOVACK DR, CLAYTON, NJ 08312-2128
(856) 398-0152
Mailing address
280 NOVACK DR, CLAYTON, NJ 08312-2128
(856) 398-0152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275197279
LPC
NJ
Enumeration date
09/16/2021
Last updated
05/09/2024
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