Individual
MR. HAL JORDAN KETOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LCADC
Contact information
Practice address
688A NASSAU ST, NORTH BRUNSWICK, NJ 08902-2900
(732) 718-0586
Mailing address
688A NASSAU ST, NORTH BRUNSWICK, NJ 08902-2900
(732) 718-0586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC00144500
NJ
101YP2500X
Professional Counselor
Primary
37PC00320100
NJ
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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