Individual
SHALAKA OZARKAR GUPTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
70 W ALLENDALE AVE STE D, ALLENDALE, NJ 07401-1798
(201) 783-8436
Mailing address
315 ENOS PL, HO HO KUS, NJ 07423-1504
(214) 395-7795
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
60701
TX
101YP2500X
Professional Counselor
Primary
NJDCATEMP-000458
NJ
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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