Individual
KATELYN E FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LCADC
Contact information
Practice address
610 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3607
(201) 383-6236
Mailing address
94 BERTHOUD ST UNIT 403, PARK RIDGE, NJ 07656-1465
(201) 566-2522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00371500
NJ
104100000X
Social Worker
Primary
44SL06670000
NJ
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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