Individual
ELIZABETH VANDER VALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 PATANIA CT, LINCOLN PARK, NJ 07035-1245
(201) 602-2758
Mailing address
104 NEWARK POMPTON TPKE, PEQUANNOCK, NJ 07440-1313
(973) 588-4486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00553700
NJ
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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