Individual
ERIKA KISLYANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
689 BLOOMFIELD AVE, NUTLEY, NJ 07110-1004
(973) 803-0228
Mailing address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(973) 803-0228
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00637800
NJ
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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