Individual
JACQUES HRYSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
117 HILTON AVE, MAPLEWOOD, NJ 07040-3217
(973) 762-8734
Mailing address
117 HILTON AVE, MAPLEWOOD, NJ 07040-3217
(973) 762-8734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00212600
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37PC00212600
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00212600
NJ
101YP2500X
Professional Counselor
37PC00212600
NJ
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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