Individual
TARA PRUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
170 DIAMOND SPRING RD, DENVILLE, NJ 07834-2910
(973) 627-0212
Mailing address
96 CENTRAL AVE APT 2F, MADISON, NJ 07940-1635
(201) 841-9303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00530400
NJ
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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