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Individual

MR. THURMOND GILLIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
350 W PASSAIC ST, ROCHELLE PARK, NJ 07662-3073
(732) 207-2434
Mailing address
971 US HIGHWAY 202 N STE N, BRANCHBURG, NJ 08876-3757
(732) 207-2434

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
37AC00572200
NJ
101Y00000X
Counselor
Primary
37PC01013300
NJ
101YP2500X
Professional Counselor
Primary
37PC01013300
NJ

Other

Enumeration date
04/01/2021
Last updated
04/15/2026
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