Individual
DR. DEBORAH KOPKO VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MS, PHD
Contact information
Practice address
804 COUNTY RT 517, GLENWOOD, NJ 07418-1804
(973) 764-8845
(973) 936-9719
Mailing address
804 COUNTY RT 517, GLENWOOD, NJ 07418-1804
(973) 764-8845
(973) 936-9719
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00535800
NJ
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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