Individual
GREGORY BARDZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
63A 8TH ST, HOBOKEN, NJ 07030-5056
(201) 541-8600
Mailing address
245 PASSAIC AVE, PASSAIC, NJ 07055
(201) 704-3915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00840300
NJ
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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