Individual
KATHLEEN AVENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
70 S FULLERTON AVE, APT J2, MONTCLAIR, NJ 07042-2633
(973) 476-6244
Mailing address
70 S FULLERTON AVE, APT J2, MONTCLAIR, NJ 07042-2633
(973) 476-6244
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00420600
NJ
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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