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Organization

GLENN SIEGEL, LPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENN SIEGEL LPC (LICENSED PROFESSIONAL PROFESSIONAL)
(973) 707-7003
Entity
Organization

Contact information

Practice address
31 TRINITY PL, MONTCLAIR, NJ 07042-2773
(973) 707-7003
Mailing address
PO BOX 210, 3644 VALLEY RD 2ND FL, LIBERTY CORNER, NJ 07938-0210

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00365900
NJ

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
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