Individual
CHRISTIANA RUTKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
30 BRANDYWINE RD, PEMBERTON, NJ 08068-1307
(484) 515-6125
Mailing address
26 FISH HAWK DR, MIDDLETOWN, NJ 07748-3247
(732) 320-0944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00560900
NJ
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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