Individual
THERESE R GRAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
192 3RD AVE STE 4, WESTWOOD, NJ 07675-2100
(201) 666-2400
(201) 666-2472
Mailing address
72 DULLES DR, DUMONT, NJ 07628-3600
(201) 732-2646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00195500
NJ
101YP2500X
Professional Counselor
Primary
37PC00556000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861128205
RELIEF & SOLUTIONS COUNSELING
—
Enumeration date
07/25/2019
Last updated
07/25/2019
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