Individual
CARLY DECOTIIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC, ACS
Contact information
Practice address
18 BANK ST, SUITE 1, SUMMIT, NJ 07901-3659
(908) 566-8858
Mailing address
18 BANK ST, SUITE 1, SUMMIT, NJ 07901-3659
(908) 546-2126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00433500
NJ
Other
Enumeration date
09/25/2011
Last updated
08/16/2023
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