Individual
SUSAN O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
10 FAIRMOUNT AVE, CHATHAM, NJ 07928-2343
(973) 229-5691
Mailing address
108 LAFAYETTE AVE, CHATHAM, NJ 07928-2047
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00442500
NJ
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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