Individual
ANILAJA MUPPIDI REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS, LAC
Contact information
Practice address
408 PAULDING AVE STE 2B, NORTHVALE, NJ 07647-1428
(908) 205-1405
Mailing address
132 YALE AVE UNIT 130, JERSEY CITY, NJ 07304-4349
(908) 205-1405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00823500
NJ
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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