Individual
MS. COLBY WUILLERMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1401 ATLANTIC AVE STE 2100, ATLANTIC CITY, NJ 08401-7001
(609) 457-6489
Mailing address
307 19TH ST S, BRIGANTINE, NJ 08203-2025
(609) 457-6489
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00170800
NJ
Other
Enumeration date
09/11/2013
Last updated
06/22/2020
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