Organization
PSYCHOTHERAPY MILESTONES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA LOGUNOVSKIY LPC, LMHC (OWNER)
(718) 801-5843
Entity
Organization
Contact information
Practice address
470 RIDGEDALE AVE STE 3, EAST HANOVER, NJ 07936-3074
(973) 515-1216
Mailing address
470 RIDGEDALE AVE STE 3, EAST HANOVER, NJ 07936-3074
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00522600
NJ
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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