Individual
GREGORY KOGUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1400 N ALBANY AVE, ATLANTIC CITY TEEN CENTER AT ATLANTIC CITY HIGH SCHOOL, ATLANTIC CITY, NJ 08401-1208
(609) 645-7601
Mailing address
PO BOX 1086, PLEASANTVILLE, NJ 08232-6086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00309400
NJ
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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