Individual
ERIN DOYLE THEODOROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC, NCC
Contact information
Practice address
590 FRANKLIN AVE SUITE 2, NUTLEY, NJ 07110
(973) 963-7485
Mailing address
29 FABER PL, NUTLEY, NJ 07110-2040
(973) 941-9142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00640900
NJ
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37PC00640900
LPC
NJ
Enumeration date
07/21/2017
Last updated
02/01/2021
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